Organization Active NPI

Great Shapes of Albertson Inc

  • Customized Equipment (DME)
  • Roslyn Heights, NY
National Provider Identifier
1386814028
Registry record updated Nov 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
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

Updated by the provider on Nov 24, 2008

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.