Active NPI
Peggy Hysack
Doing business as Daisy Health Care Products
- Durable Medical Equipment & Medical Supplies
- Little Falls, NY
National Provider Identifier
1285698399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- PEGGY HYSACK
- Doing business as
- Daisy Health Care Products
- Practice address
- 389 West Main Street
Little Falls, NY 13365 - Phone
- (315) 823-1625
- Fax
- (315) 823-1625
- NPI assigned
- Apr 14, 2006
- Last updated
- Jul 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Peggy Hysack
- Title
- Owner
- Phone
- (315) 823-1625
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
389 West Main Street
Little Falls, NY 13365
Mailing address
PO Box 149
389 West Main Street
Little Falls, NY 13365
Phone (315) 823-1625
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01677518 | Medicaid | NY |
Other names 1
- Daisy Health Care Products
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216339200000",
"number": "1285698399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 149",
"address_2": "389 WEST MAIN STREET",
"city": "LITTLE FALLS",
"state": "NY",
"postal_code": "13365",
"telephone_number": "315-823-1625",
"fax_number": "315-823-1625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "389 WEST MAIN STREET",
"city": "LITTLE FALLS",
"state": "NY",
"postal_code": "13365",
"telephone_number": "315-823-1625",
"fax_number": "315-823-1625"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEGGY HYSACK",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-14",
"last_updated": "2008-07-18",
"status": "A",
"authorized_official_last_name": "HYSACK",
"authorized_official_first_name": "PEGGY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "315-823-1625"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01677518",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Daisy Health Care Products",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Little Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.