Organization Active NPI

Jaxton Enterprise LLC

  • Durable Medical Equipment & Medical Supplies
  • Staten Island, NY
National Provider Identifier
1013618248
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
JAXTON ENTERPRISE LLC
Practice address
20 Marble Loop Ste 2a
Staten Island, NY 10309-1353
Phone
(718) 801-3002
NPI assigned
Mar 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Mary S Esposito
Title
President/Ceo
Phone
(718) 801-3002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

20 Marble Loop Ste 2a
Staten Island, NY 10309-1353

Mailing address

20 Marble Loop Ste 2a
Staten Island, NY 10309-1353
Phone (718) 801-3002

National Provider Directory

National Provider Directory

Locations

20 Marble Loop
Ste 2A
Staten Island, NY 10309
Phone (646) 730-7132

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678752000000",
    "number": "1013618248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MARBLE LOOP STE 2A",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103091353",
            "telephone_number": "718-801-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MARBLE LOOP STE 2A",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103091353",
            "telephone_number": "718-801-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAXTON ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A",
        "authorized_official_last_name": "ESPOSITO",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "718-801-3002",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.