Active NPI
Elite DME, Inc.
- Durable Medical Equipment & Medical Supplies
- Stony Brook, NY
National Provider Identifier
1336214170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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, 2020
- 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
- Ms. Jeanne Byrne
- Title
- Operations Director
- Phone
- (631) 240-7377
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.