Organization Active NPI

Direct Imagery Care LLC

  • Durable Medical Equipment & Medical Supplies
  • Staten Island, NY
National Provider Identifier
1336711720
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DIRECT IMAGERY CARE LLC
Practice address
350 Richmond Ter Apt 3S
Staten Island, NY 10301-1519
Phone
(917) 861-6376
NPI assigned
Jul 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Authorized official

Name
Mr. Idris Ojelade
Title
Chief Executive Officer
Phone
(347) 414-4456

Specialties & licenses 1

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

Addresses

Primary practice location

350 Richmond Ter Apt 3S
Staten Island, NY 10301-1519

Mailing address

350 Richmond Ter Apt 3S
Staten Island, NY 10301-1519

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1336711720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 RICHMOND TER APT 3S",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103011519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 RICHMOND TER APT 3S",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103011519",
            "telephone_number": "917-861-6376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT IMAGERY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A",
        "authorized_official_last_name": "OJELADE",
        "authorized_official_first_name": "IDRIS",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "347-414-4456",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.