Active NPI
United Presbyterian & Reformed Adult Ministries
- Durable Medical Equipment & Medical Supplies
- Bethpage, NY
National Provider Identifier
1366814659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- UNITED PRESBYTERIAN & REFORMED ADULT MINISTRIES
- Practice address
- 322 Broadway
Bethpage, NY 11714-3011 - Phone
- (516) 364-3401
- Fax
- (516) 364-3404
- NPI assigned
- Oct 26, 2015
- Organization subpart
- Yes
- Parent organization
- UNITED PRESBYTERIAN & REFORMED ADULT MINISTRIES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Douglas Kurtz, REV
- Title
- President
- Phone
- (516) 364-3401
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
322 Broadway
Bethpage, NY 11714-3011
Mailing address
PO Box 411
Woodbury, NY 11797-0411
Phone (516) 364-3401
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01364378 | Medicaid | NY | |
| 209205 | Other | NY | NOT FOR PROFIT |
Other names 1
- United Lifeline
National Provider Directory
National Provider Directory- Part of
- United Presbyterian Reformed Adult Ministries
Locations
322 Broadway
Bethpage, NY 11714
Phone (516) 364-3401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1445817600000",
"number": "1366814659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 411",
"city": "WOODBURY",
"state": "NY",
"postal_code": "117970411",
"telephone_number": "516-364-3401",
"fax_number": "516-364-3404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 BROADWAY",
"city": "BETHPAGE",
"state": "NY",
"postal_code": "117143011",
"telephone_number": "516-364-3401",
"fax_number": "516-364-3404"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITED PRESBYTERIAN & REFORMED ADULT MINISTRIES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "UNITED PRESBYTERIAN & REFORMED ADULT MINISTRIES",
"enumeration_date": "2015-10-26",
"last_updated": "2015-10-26",
"status": "A",
"authorized_official_last_name": "KURTZ",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "516-364-3401",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "REV"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01364378",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NOT FOR PROFIT",
"identifier": "209205",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "United Lifeline",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Bethpage, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.