Elite Medical Supply Group LLC
NPI 1629623210 · Durable Medical Equipment & Medical Supplies · Brooklyn, NY
Enrolled with Medicare as Dme Supplier - Medical Supply Company · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Elite Medical Supply Group LLC is a Durable Medical Equipment & Medical Supplies organization in Brooklyn, NY (NPI 1629623210).
Provider details
- NPI number
- 1629623210
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Parent organization
- Elite Medical Supply Group LLC
- Organization subpart
- Yes
- Authorized official
- Mike Kostylev, President(347) 414-5700
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Elite Medical Supply
- Doing business as
- Elite Medical Supply
Registry dates
- Enumerated
- 2019-08-09
- Last updated
- 2022-03-06
- Certified
- 2022-03-06
Frequently asked questions
- What is Elite Medical Supply Group LLC's NPI number?
- Elite Medical Supply Group LLC's National Provider Identifier (NPI) is 1629623210, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Elite Medical Supply Group LLC?
- Elite Medical Supply Group LLC is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Elite Medical Supply Group LLC located?
- Elite Medical Supply Group LLC's practice location on file with NPPES is 1071 Brighton Beach Ave, Brooklyn, NY 11235-5602.
- What is Elite Medical Supply Group LLC's phone number?
- The practice phone number listed in the NPPES registry for Elite Medical Supply Group LLC is (347) 414-5700.
- Does Elite Medical Supply Group LLC accept Medicare?
- Elite Medical Supply Group LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Elite Medical Supply Group LLC?
- The authorized official listed on Elite Medical Supply Group LLC's NPPES record is Mike Kostylev, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Elite Medical Supply Group LLC's NPI active?
- Yes — Elite Medical Supply Group LLC's NPI (1629623210) is active in the NPPES registry as of the last update on 2022-03-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.