Organization Active NPI

North Shore Management, Inc

  • Customized Equipment (DME)
  • College Point, NY
National Provider Identifier
1457468415
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
NORTH SHORE MANAGEMENT, INC
Practice address
15-40A 128TH Street
College Point, NY 11356
Phone
(516) 458-7898
Fax
(516) 977-1149
NPI assigned
Aug 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Farrukh Khwaja
Title
Manager
Phone
(516) 458-7898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

15-40A 128TH Street
College Point, NY 11356

Mailing address

8 Ash LN
Valley Stream, NY 11581-1702
Phone (516) 458-7898

National Provider Directory

National Provider Directory

Locations

1540 128th St
#A
College Point, NY 11356
Phone (516) 458-7898

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457468415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 ASH LN",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115811702",
            "telephone_number": "516-458-7898",
            "fax_number": "516-977-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15-40A 128TH STREET",
            "city": "COLLEGE POINT",
            "state": "NY",
            "postal_code": "11356",
            "telephone_number": "516-458-7898",
            "fax_number": "516-977-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE MANAGEMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KHWAJA",
        "authorized_official_first_name": "FARRUKH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "516-458-7898",
        "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 College Point, NY

Sources for this page

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