Active NPI
Great Shapes of Albertson Inc
- Customized Equipment (DME)
- Roslyn Heights, NY
National Provider Identifier
1386814028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- Legal business name
- GREAT SHAPES OF ALBERTSON INC
- Practice address
- 190 Mineola Ave
Roslyn Heights, NY 11577-1953 - Phone
- (516) 364-1222
- Fax
- (516) 364-0822
- NPI assigned
- Mar 10, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ken Goldstein
- Title
- Controller
- Phone
- (516) 364-1222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | Primary |
Addresses
Primary practice location
190 Mineola Ave
Roslyn Heights, NY 11577-1953
Mailing address
190 Mineola Ave
Roslyn Heights, NY 11577-1953
Phone (516) 364-1222
National Provider Directory
National Provider DirectoryLocations
190 Mineola Ave
Roslyn Heights, NY 11577
Phone (516) 364-1222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205107200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1227484800000",
"number": "1386814028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 MINEOLA AVE",
"city": "ROSLYN HEIGHTS",
"state": "NY",
"postal_code": "115771953",
"telephone_number": "516-364-1222",
"fax_number": "516-364-0822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 MINEOLA AVE",
"city": "ROSLYN HEIGHTS",
"state": "NY",
"postal_code": "115771953",
"telephone_number": "516-364-1222",
"fax_number": "516-364-0822"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREAT SHAPES OF ALBERTSON INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-10",
"last_updated": "2008-11-24",
"status": "A",
"authorized_official_last_name": "GOLDSTEIN",
"authorized_official_first_name": "KEN",
"authorized_official_title_or_position": "CONTROLLER",
"authorized_official_telephone_number": "516-364-1222",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roslyn Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.