Organization Active NPI

Pectus Services of Ny LLC

  • Customized Equipment (DME)
  • Staten Island, NY
National Provider Identifier
1174825327
Registry record updated Nov 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
PECTUS SERVICES OF NY LLC
Practice address
774 Manor Rd
Suite 202
Staten Island, NY 10314-7038
Phone
(877) 732-8876
Fax
(973) 488-7185
NPI assigned
Nov 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2010

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

Authorized official

Name
Joseph A Porcello
Title
Owner
Phone
(877) 732-8876

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

774 Manor Rd
Suite 202
Staten Island, NY 10314-7038

Mailing address

96 Belmohr St
Belleville, NJ 07109-2202
Phone (877) 732-8876

National Provider Directory

National Provider Directory

Locations

774 Manor Rd
Ste 202
Staten Island, NY 10314
Phone (877) 732-8876

NPI Registry JSON

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

{
    "created_epoch": "1290297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290297600000",
    "number": "1174825327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 BELMOHR ST",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071092202",
            "telephone_number": "877-732-8876",
            "fax_number": "973-488-7185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 MANOR RD",
            "address_2": "SUITE 202",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103147038",
            "telephone_number": "877-732-8876",
            "fax_number": "973-488-7185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PECTUS SERVICES OF NY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-21",
        "last_updated": "2010-11-21",
        "status": "A",
        "authorized_official_last_name": "PORCELLO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "877-732-8876"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2010; 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.