Primetime Medical Supply Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PRIMETIME MEDICAL SUPPLY INC.

Doing business as

Primetime Medical Supply Inc.

Practice address

671 Liberty Avenue
Brooklyn, NY 11207-3292

Phone

(718) 975-3690

Fax

(718) 975-3689

NPI assigned

Dec 16, 2018

Last updated

Oct 16, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Nadine Elizabeth Olatunde-Williams

Title

President

Phone

(718) 685-6343

Specialties & licenses 1

Addresses

Other names 1

• PRIMETIME MEDICAL SUPPLY INC. Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571184000000",
    "number": "1023589363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 LIBERTY AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112073292",
            "telephone_number": "718-975-3690",
            "fax_number": "718-975-3689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 LIBERTY AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112073292",
            "telephone_number": "718-975-3690",
            "fax_number": "718-975-3689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMETIME MEDICAL SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2019-10-16",
        "status": "A",
        "authorized_official_last_name": "OLATUNDE-WILLIAMS",
        "authorized_official_first_name": "NADINE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-685-6343",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "primemedical2@outlook.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "primemedical2@outlook.com",
            "address_1": "671 LIBERTY AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112073292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "PRIMETIME MEDICAL SUPPLY INC.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PRIMETIME MEDICAL SUPPLY INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Charles Anthony Primeau, LCSW
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• Lisa Primich, PT
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• Samantha Nichola Primo
• Prince Luxury Corp (Prince Luxury)
• Prince Rehab Care PT PC

• Durable Medical Equipment & Medical Supplies in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.