Pacesetters Medical Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PACESETTERS MEDICAL SUPPLY LLC

Practice address

299-19 Merrick Blvd
Suite 266
Laurelton, NY 11413-2108

Phone

(917) 635-5646

Fax

(917) 210-3545

NPI assigned

Nov 26, 2012

Organization subpart

No

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

Authorized official

Name

Bayo Davis Adeniyi

Title

Owner

Phone

(917) 635-5646

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365033600000",
    "number": "1205170628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299-19 MERRICK BLVD",
            "address_2": "SUITE 266",
            "city": "LAURELTON",
            "state": "NY",
            "postal_code": "114132108",
            "telephone_number": "917-635-5646",
            "fax_number": "917-210-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299-19 MERRICK BLVD",
            "address_2": "SUITE 266",
            "city": "LAURELTON",
            "state": "NY",
            "postal_code": "114132108",
            "telephone_number": "917-635-5646",
            "fax_number": "917-210-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACESETTERS MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-26",
        "last_updated": "2013-04-04",
        "status": "A",
        "authorized_official_last_name": "ADENIYI",
        "authorized_official_first_name": "BAYO",
        "authorized_official_middle_name": "DAVIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-635-5646"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Orilus, LMSW
• Rolland Orji
• Nadeen Osullivan
• Oluwaseyi Owoseni
• Naheem Ayodele Oyebanjo
• Leolyn Palmer
• Yunlye Park
• Sharon Parkinson
• Claudette Rosemarie Passmore
• Jaimie Patel

• Durable Medical Equipment & Medical Supplies in Laurelton, NY
• Providers in Laurelton, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; 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.