NPIMap

Organization Active NPI

Union Supplier, LLC

  • Durable Medical Equipment & Medical Supplies
  • Flushing, NY
National Provider Identifier
1053703082
Registry record updated Mar 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
UNION SUPPLIER, LLC
Practice address
3125 Union St
Flushing, NY 11354-2346
Phone
(718) 445-6477
NPI assigned
Feb 27, 2015
Last updated
Mar 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2015

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

Authorized official

Name
Dr. Hak-Soo BaeNPI 1265525828
Title
Owner
Phone
(718) 445-6477

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

3125 Union St
Flushing, NY 11354-2346

Mailing address

3125 Union St
Flushing, NY 11354-2346
Phone (718) 445-6477

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1424995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425340800000",
    "number": "1053703082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 UNION ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113542346",
            "telephone_number": "718-445-6477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 UNION ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113542346",
            "telephone_number": "718-445-6477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION SUPPLIER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-27",
        "last_updated": "2015-03-03",
        "status": "A",
        "authorized_official_last_name": "BAE",
        "authorized_official_first_name": "HAK-SOO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-445-6477",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.