Organization Active NPI

Ostomy Incorporated

  • Durable Medical Equipment & Medical Supplies
  • Margate, FL
National Provider Identifier
1023011756
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0500138 Issued in FL
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
SG027558OtherFLVISTA
M1171OtherFLBCBS HEALTH OPTIONS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930061191 FL DME Supplier - Medical Supply Company 7719004712 Practice locations: Coral Springs, FL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.