Active NPI
Ostomy Incorporated
- Durable Medical Equipment & Medical Supplies
- Margate, FL
National Provider Identifier
1023011756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0500138
- Legal business name
- OSTOMY INCORPORATED
- Practice address
- 5420 W Atlantic Blvd
Margate, FL 33063-5209 - Phone
- (954) 975-8004
- Fax
- (954) 973-3141
- NPI assigned
- May 27, 2005
- Last updated
- Apr 20, 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. Julie Ebel Gareau
- Title
- Vice President
- Phone
- (954) 975-8004
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0500138 | FL | Primary |
Addresses
Primary practice location
5420 W Atlantic Blvd
Margate, FL 33063-5209
Mailing address
5420 W Atlantic Blvd
Margate, FL 33063-5209
Phone (954) 975-8004
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SG027558 | Other | FL | VISTA |
| M1171 | Other | FL | BCBS HEALTH OPTIONS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930061191 | FL | DME Supplier - Medical Supply Company | 7719004712 | Practice locations: Coral Springs, FL |
National Provider Directory
National Provider DirectoryLocations
5420 W Atlantic Blvd
Margate, FL 33063
Phone (954) 975-8004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1023011756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5420 W ATLANTIC BLVD",
"city": "MARGATE",
"state": "FL",
"postal_code": "330635209",
"telephone_number": "954-975-8004",
"fax_number": "954-973-3141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5420 W ATLANTIC BLVD",
"city": "MARGATE",
"state": "FL",
"postal_code": "330635209",
"telephone_number": "954-975-8004",
"fax_number": "954-973-3141"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OSTOMY INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2005-05-27",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "GAREAU",
"authorized_official_first_name": "JULIE",
"authorized_official_middle_name": "EBEL",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "954-975-8004",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "FL",
"license": "0500138",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VISTA",
"identifier": "SG027558",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS HEALTH OPTIONS",
"identifier": "M1171",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Margate, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.