Organization Active NPI

QK Healthcare, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Bellport, NY
National Provider Identifier
1376654012
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
024630 Issued in NY
Legal business name
QK HEALTHCARE, INC.
Practice address
35 Saw Grass Dr
Suite 1
Bellport, NY 11713-1548
Phone
(631) 439-2027
Fax
(631) 439-2008
NPI assigned
Aug 31, 2006
Organization subpart
Yes
Parent organization
QUALITY KING DISTRIBUTORS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Glenn Nussdorf
Title
President
Phone
(631) 439-2003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 024630 NY Primary

Addresses

Primary practice location

35 Saw Grass Dr
Suite 1
Bellport, NY 11713-1548

Mailing address

35 Saw Grass Dr
Suite 1
Bellport, NY 11713-1548
Phone (631) 439-2027

National Provider Directory

National Provider Directory
Part of
Quality King Distributors Inc

Locations

35 Sawgrass Dr
Ste 1
Bellport, NY 11713
Phone (631) 439-2027

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1376654012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 SAW GRASS DR",
            "address_2": "SUITE 1",
            "city": "BELLPORT",
            "state": "NY",
            "postal_code": "117131548",
            "telephone_number": "631-439-2027",
            "fax_number": "631-439-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 SAW GRASS DR",
            "address_2": "SUITE 1",
            "city": "BELLPORT",
            "state": "NY",
            "postal_code": "117131548",
            "telephone_number": "631-439-2027",
            "fax_number": "631-439-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QK HEALTHCARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QUALITY KING DISTRIBUTORS, INC",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "NUSSDORF",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-439-2003"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "024630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.