Organization Active NPI

Peter Taormino

  • Durable Medical Equipment & Medical Supplies
  • Lake Ronkonkoma, NY
National Provider Identifier
1013194174
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
4002120001 Issued in NY
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

Updated by the provider on Mar 5, 2008

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.