Organization Active NPI

Pulmonary Home Care Services of Li, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Bay Shore, NY
National Provider Identifier
1154462562
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
PULMONARY HOME CARE SERVICES OF LI, INC.
Practice address
60 Corbin Ave
Suite L
Bay Shore, NY 11706-1046
Phone
(631) 243-0033
Fax
(631) 254-4536
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Frederick J Danin, RCP
Title
President
Phone
(631) 732-2753

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

60 Corbin Ave
Suite L
Bay Shore, NY 11706-1046

Mailing address

58 Wyandotte St
Selden, NY 11784-4028
Phone (631) 732-2753

Other identifiers 1

IdentifierTypeStateIssuer
00930869MedicaidNY

National Provider Directory

National Provider Directory

Locations

60 Corbin Ave
Ste L
Bay Shore, NY 11706
Phone (631) 243-0033

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154462562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 WYANDOTTE ST",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117844028",
            "telephone_number": "631-732-2753",
            "fax_number": "631-254-4536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 CORBIN AVE",
            "address_2": "SUITE L",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117061046",
            "telephone_number": "631-243-0033",
            "fax_number": "631-254-4536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY HOME CARE SERVICES OF LI, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DANIN",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-732-2753",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RCP"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00930869",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.