Organization Active NPI

Oncology Medical and Surgical Supplies, LLC

  • Durable Medical Equipment & Medical Supplies
  • Jamestown, NY
National Provider Identifier
1346486388
Registry record updated Dec 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ONCOLOGY MEDICAL AND SURGICAL SUPPLIES, LLC
Practice address
21 Porter Ave
Jamestown, NY 14701-6247
Phone
(716) 664-1909
Fax
(716) 664-2214
NPI assigned
Dec 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2008

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

Authorized official

Name
Susan Gabuten Ibabao
Title
Owner
Phone
(716) 664-1909

Specialties & licenses 1

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

Addresses

Primary practice location

21 Porter Ave
Jamestown, NY 14701-6247

Mailing address

PO Box 9
Jamestown, NY 14702-0009
Phone (716) 664-1909

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1229904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229904000000",
    "number": "1346486388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147020009",
            "telephone_number": "716-664-1909",
            "fax_number": "716-664-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 PORTER AVE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147016247",
            "telephone_number": "716-664-1909",
            "fax_number": "716-664-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONCOLOGY MEDICAL AND SURGICAL SUPPLIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-22",
        "last_updated": "2008-12-22",
        "status": "A",
        "authorized_official_last_name": "IBABAO",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "GABUTEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-664-1909"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, NY

Sources for this page

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