Light Supplies USA, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LIGHT SUPPLIES USA, INC.

Practice address

11538 120TH St
South Ozone Park, NY 11420-2414

Phone

(718) 322-2288

NPI assigned

Jan 12, 2018

Organization subpart

No

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

Authorized official

Name

Shlomo Matatov

Title

Ceo

Phone

(718) 322-2288

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1515715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515715200000",
    "number": "1356859268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11538 120TH ST",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114202414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11538 120TH ST",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114202414",
            "telephone_number": "718-322-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHT SUPPLIES USA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-12",
        "last_updated": "2018-01-12",
        "status": "A",
        "authorized_official_last_name": "MATATOV",
        "authorized_official_first_name": "SHLOMO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-322-2288"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in South Ozone Park, NY
• Providers in South Ozone Park, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2018; 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.