NPIMap

Organization Active NPI

Passaic Healthcare Services LLC

  • Durable Medical Equipment & Medical Supplies
  • Plainview, NY
National Provider Identifier
1033433198
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PASSAIC HEALTHCARE SERVICES LLC
Practice address
125 Newtown Rd
Suite 300
Plainview, NY 11803-4314
Phone
(800) 244-4660
Fax
(866) 511-0294
NPI assigned
Mar 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Authorized official

Name
Mr. Winthrop Hayes
Title
President
Phone
(800) 244-4660

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X
Oxygen Equipment & Supplies (DME) 332BX2000X

Addresses

Primary practice location

125 Newtown Rd
Suite 300
Plainview, NY 11803-4314

Mailing address

125 Newtown Rd
Suite 300
Plainview, NY 11803-4314
Phone (800) 244-4660

Other identifiers 2

IdentifierTypeStateIssuer
03288337MedicaidNY
0264873MedicaidNJ

Other names 1

  • AllCare Medical Doing business as

National Provider Directory

National Provider Directory

Member organizations 6

Organizations listed as members of this organization in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421798400000",
    "number": "1033433198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 NEWTOWN RD",
            "address_2": "SUITE 300",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118034314",
            "telephone_number": "800-244-4660",
            "fax_number": "866-511-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 NEWTOWN RD",
            "address_2": "SUITE 300",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118034314",
            "telephone_number": "800-244-4660",
            "fax_number": "866-511-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSAIC HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-18",
        "last_updated": "2015-01-21",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "WINTHROP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-244-4660",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03288337",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0264873",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AllCare Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plainview, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.