| Organization Name: | BENEFICIAL MEDICAL SUPPLY |
| NPI Number: | 1093731473 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NELLY BAKSHIYEV (PRESIDENT/OWNER) |
| Mailing Address: | 361 Passaic Str Passaic |
| State: | NJ US |
| Postal Code: | 070555818 |
| Phone Number: | 9737734566 |
| Fax Number: | 9734738868 |
| NPI Enumeration Date: | 07/15/2006 |
| NPI Last Update Date: | 05/27/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225000000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Orthotic Fitter |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual trained in the management of fitting prefabricated orthoses. |