Heritage Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

BN12003457 Issued in NY

Legal business name

HERITAGE MEDICAL SUPPLY

Practice address

2005 Merrick Rd
202
Merrick, NY 11566-4644

Phone

(202) 322-7818

NPI assigned

Aug 16, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Frank Ogbonuba, MD

Title

Owner

Phone

(202) 322-7818

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345075200000",
    "number": "1033467402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 MERRICK RD",
            "address_2": "202",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664644",
            "telephone_number": "202-322-7818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 MERRICK RD",
            "address_2": "202",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664644",
            "telephone_number": "202-322-7818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-16",
        "last_updated": "2012-08-16",
        "status": "A",
        "authorized_official_last_name": "OGBONUBA",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-322-7818",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "BN12003457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Hayden, OTR/L
• Loretta Hayes Mason, OTR/L
• Helene M Mair PHD PC
• Lynn M Helmsorig, NP
• James Martin Hensley, D.D.S., F.A.G.D.
• Caroline Jane Herrera, PA-C
• Terri Hertz-Rosin
• Jolie Hettena
• Sara Hiller
• Brian Joseph Himelfarb

• Durable Medical Equipment & Medical Supplies in Merrick, NY
• Providers in Merrick, 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 Aug 16, 2012; 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.