Organization Active NPI

Atlantis Medical Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Quincy, MA
National Provider Identifier
1033760343
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ATLANTIS MEDICAL SUPPLY INC
Practice address
692 Hancock St
Quincy, MA 02170-2814
Phone
(617) 802-1999
Fax
(617) 405-4692
NPI assigned
Sep 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Authorized official

Name
Muiz Khir, MDNPI 1659327724
Title
Ceo
Phone
(617) 407-2323

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

692 Hancock St
Quincy, MA 02170-2814

Mailing address

45 Willard St
Quincy, MA 02169-1228
Phone (617) 842-8340

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651104000000",
    "number": "1033760343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 WILLARD ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021691228",
            "telephone_number": "617-842-8340",
            "fax_number": "617-405-4692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "692 HANCOCK ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021702814",
            "telephone_number": "617-802-1999",
            "fax_number": "617-405-4692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIS MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-27",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A",
        "authorized_official_last_name": "KHIR",
        "authorized_official_first_name": "MUIZ",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "617-407-2323",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; 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.