Promos Group LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PROMOS GROUP LLC

Practice address

309 W Park Ave Ste 2
Long Beach, NY 11561-3241

Phone

(516) 889-4565

Fax

(516) 706-0530

NPI assigned

May 14, 2020

Last updated

Jun 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elena Rudish

Title

Manager

Phone

(631) 897-6226

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592784000000",
    "number": "1437771235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 W PARK AVE STE 2",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613241",
            "telephone_number": "631-897-6226",
            "fax_number": "516-706-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 W PARK AVE STE 2",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613241",
            "telephone_number": "516-889-4565",
            "fax_number": "516-706-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMOS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-14",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A",
        "authorized_official_last_name": "RUDISH",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "631-897-6226"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Long Beach, NY
• Providers in Long Beach, 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 Jun 22, 2020; 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.