Active NPI
Peter Taormino
- Durable Medical Equipment & Medical Supplies
- Lake Ronkonkoma, NY
National Provider Identifier
1013194174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 4002120001
- Legal business name
- PETER TAORMINO
- Practice address
- 622 Hawkins Ave
Ste 8
Lake Ronkonkoma, NY 11779-2374 - Phone
- (631) 467-2813
- Fax
- (631) 467-1417
- NPI assigned
- Jan 30, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kimberly Taormino, SPOUSE
- Title
- Office Manager
- Phone
- (631) 467-2813
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 4002120001 | NY | Primary |
Addresses
Primary practice location
622 Hawkins Ave
Ste 8
Lake Ronkonkoma, NY 11779-2374
Mailing address
622 Hawkins Ave
Ste 8
Lake Ronkonkoma, NY 11779-2374
Phone (631) 467-2813
National Provider Directory
National Provider DirectoryLocations
622 Hawkins Ave
Ste 8
Ronkonkoma, NY 11779
Phone (631) 467-2813
201 Portion Rd
Ste C
Ronkonkoma, NY 11779
Phone (631) 467-2813
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Sayville, NY
- NPI 1659483246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204675200000",
"number": "1013194174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "622 HAWKINS AVE",
"address_2": "STE 8",
"city": "LAKE RONKONKOMA",
"state": "NY",
"postal_code": "117792374",
"telephone_number": "631-467-2813",
"fax_number": "631-467-1417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "622 HAWKINS AVE",
"address_2": "STE 8",
"city": "LAKE RONKONKOMA",
"state": "NY",
"postal_code": "117792374",
"telephone_number": "631-467-2813",
"fax_number": "631-467-1417"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PETER TAORMINO",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-30",
"last_updated": "2008-03-05",
"status": "A",
"authorized_official_last_name": "TAORMINO",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "631-467-2813",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "SPOUSE"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NY",
"license": "4002120001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Ronkonkoma, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.