Organization Active NPI

Life Care Testing. Inc.

  • Customized Equipment (DME)
  • Brooklyn, NY
National Provider Identifier
1437781952
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
LIFE CARE TESTING. INC.
Practice address
1887 Shore Pkwy
Brooklyn, NY 11214-6620
Phone
(917) 292-5573
NPI assigned
Feb 12, 2020
Last updated
Feb 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Authorized official

Name
Hatem Ahmed
Title
President
Phone
(718) 564-3435

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

1887 Shore Pkwy
Brooklyn, NY 11214-6620

Mailing address

910 81St St
Brooklyn, NY 11228-2851
Phone (718) 564-3435

Other identifiers 1

IdentifierTypeStateIssuer
1962759845MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1437781952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 81ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112282851",
            "telephone_number": "718-564-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1887 SHORE PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112146620",
            "telephone_number": "917-292-5573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CARE TESTING. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "HATEM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-564-3435"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962759845",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.