Advanced Orthomedical Supplies Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

915661944 Issued in NY

Legal business name

ADVANCED ORTHOMEDICAL SUPPLIES INC

Practice address

4461 11TH St
Long Island City, NY 11101-5117

Phone

(516) 855-2300

Fax

(516) 977-0412

NPI assigned

Aug 9, 2008

Last updated

Aug 9, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mariusz P Gromul

Title

President

Phone

(516) 855-2300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1218240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218240000000",
    "number": "1275789281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4461 11TH ST",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015117",
            "telephone_number": "516-855-2300",
            "fax_number": "516-977-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4461 11TH ST",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015117",
            "telephone_number": "516-855-2300",
            "fax_number": "516-977-0412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ORTHOMEDICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-09",
        "last_updated": "2008-08-09",
        "status": "A",
        "authorized_official_last_name": "GROMUL",
        "authorized_official_first_name": "MARIUSZ",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-855-2300"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "915661944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Long Island City, NY
• Providers in Long Island City, 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 Aug 9, 2008; 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.