Organization Active NPI

Long Beach Surgical Supply Company

  • Oxygen Equipment & Supplies (DME)
  • Long Beach, NY
National Provider Identifier
1194894378
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
LONG BEACH SURGICAL SUPPLY COMPANY
Practice address
259 W Park Ave
Long Beach, NY 11561-3222
Phone
(516) 431-0617
Fax
(516) 431-0784
NPI assigned
Nov 6, 2006
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. Douglas Schonfeld
Title
President
Phone
(516) 431-0617

Specialties & licenses 1

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

Addresses

Primary practice location

259 W Park Ave
Long Beach, NY 11561-3222

Mailing address

259 W Park Ave
Long Beach, NY 11561-3222
Phone (516) 431-0617

Other identifiers 1

IdentifierTypeStateIssuer
00320585MedicaidNY

National Provider Directory

National Provider Directory

Locations

259 W Park Ave
Long Beach, NY 11561
Phone (516) 431-0617

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194894378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 W PARK AVE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613222",
            "telephone_number": "516-431-0617",
            "fax_number": "516-431-0784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 W PARK AVE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613222",
            "telephone_number": "516-431-0617",
            "fax_number": "516-431-0784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG BEACH SURGICAL SUPPLY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHONFELD",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-431-0617",
        "authorized_official_name_prefix": "Mr."
    },
    "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": "00320585",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, 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.