Laine Medical Supplies LLC

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

Legal business name

LAINE MEDICAL SUPPLIES LLC

Practice address

11317 Colfax St
Queens Village, NY 11429-2218

Phone

(718) 413-4722

Fax

(718) 228-9471

NPI assigned

Oct 11, 2019

Organization subpart

No

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

Authorized official

Name

Jessica LaineNPI 1861226706

Title

Owner

Phone

(718) 413-4722

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Laine, FNP

  • Family Nurse Practitioner
  • Queens Village, NY
  • NPI 1861226706
  NPD Authorized official

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578528000000",
    "number": "1225670185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11317 COLFAX ST",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114292218",
            "telephone_number": "718-413-4722",
            "fax_number": "718-228-9471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11317 COLFAX ST",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114292218",
            "telephone_number": "718-413-4722",
            "fax_number": "718-228-9471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAINE MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-11",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A",
        "authorized_official_last_name": "LAINE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-413-4722"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jannine Lachman
• Cindy Lafatzis, M.S., CCC-SLP, TSSLD
• Michelle Lee Laferriere
• Ricarno Lafleur, RN
• Stephanie Lai, RDN, CDN
• Jessica Laine, FNP
• Neshae Remelda Laing
• Shamoya Laing
• Erick Lajoie
• Lall Sammy

• Parenteral & Enteral Nutrition Supplies (DME) in Queens Village, NY
• Providers in Queens Village, NY by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.