Organization Active NPI

Elite DME, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Stony Brook, NY
National Provider Identifier
1336214170
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ELITE DME, INC.
Practice address
1212 N Country Rd
Suite 4B
Stony Brook, NY 11790-1919
Phone
(631) 240-7377
Fax
(631) 326-6098
NPI assigned
Nov 21, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Jeanne Byrne
Title
Operations Director
Phone
(631) 240-7377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

1212 N Country Rd
Suite 4B
Stony Brook, NY 11790-1919

Mailing address

1212 N Country Rd
Suite 4B
Stony Brook, NY 11790-1919
Phone (631) 240-7377

National Provider Directory

National Provider Directory

Locations

1212 Route 25A
Ste 4B
Stony Brook, NY 11790
Phone (631) 246-9000

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336214170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 N COUNTRY RD",
            "address_2": "SUITE 4B",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117901919",
            "telephone_number": "631-240-7377",
            "fax_number": "631-326-6098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 N COUNTRY RD",
            "address_2": "SUITE 4B",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117901919",
            "telephone_number": "631-240-7377",
            "fax_number": "631-326-6098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE DME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BYRNE",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "631-240-7377",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.