Organization Active NPI

Babylon Surg Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Deer Park, NY
National Provider Identifier
1043342637
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BABYLON SURG SUPPLY INC
Practice address
1751 Deer Park Ave
Deer Park, NY 11729-5206
Phone
(631) 242-7900
Fax
(631) 242-7903
NPI assigned
Mar 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Cheryl A. Sodden
Title
President
Phone
(631) 242-7900

Specialties & licenses 1

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

Addresses

Primary practice location

1751 Deer Park Ave
Deer Park, NY 11729-5206

Mailing address

1751 Deer Park Ave
Deer Park, NY 11729-5206
Phone (631) 242-7900

Other identifiers 1

IdentifierTypeStateIssuer
02916663MedicaidNY

National Provider Directory

National Provider Directory

Locations

1751 Deer Park Ave
Deer Park, NY 11729
Phone (631) 242-7900

NPI Registry JSON

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

{
    "created_epoch": "1173484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1043342637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 DEER PARK AVE",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117295206",
            "telephone_number": "631-242-7900",
            "fax_number": "631-242-7903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 DEER PARK AVE",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117295206",
            "telephone_number": "631-242-7900",
            "fax_number": "631-242-7903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BABYLON SURG SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-10",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SODDEN",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-242-7900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02916663",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deer Park, NY

Sources for this page

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