Organization Active NPI

P&R Medical Supply

  • Customized Equipment (DME)
  • Bronx, NY
National Provider Identifier
1316139702
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
P&R MEDICAL SUPPLY
Practice address
888 E 163Rd St
Bronx, NY 10459-4108
Phone
(718) 207-3303
NPI assigned
Aug 9, 2007
Last updated
Jun 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Mr. Stephen Reilly, CERTIFIED PEDORTHIST
Title
President
Phone
(718) 207-3303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X NU Primary

Addresses

Primary practice location

888 E 163Rd St
Bronx, NY 10459-4108

Mailing address

888 E 163Rd St
Bronx, NY 10459-4108
Phone (718) 207-3303

National Provider Directory

National Provider Directory

Locations

888 E 163rd St
Bronx, NY 10459
Phone (212) 567-9580

NPI Registry JSON

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1316139702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 E 163RD ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104594108",
            "telephone_number": "718-207-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 E 163RD ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104594108",
            "telephone_number": "718-207-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P&R MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "REILLY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-207-3303",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CERTIFIED PEDORTHIST"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.