Organization Active NPI

Innovative Product Solutions LLC

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Lawrence, NY
National Provider Identifier
1467631929
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
Legal business name
INNOVATIVE PRODUCT SOLUTIONS LLC
Practice address
207 Rockaway Tpke
Suite#3a
Lawrence, NY 11559-1216
Phone
(516) 612-2583
Fax
(516) 612-2584
NPI assigned
Oct 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Authorized official

Name
Steven Manela
Title
Ceo
Phone
(917) 846-5099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X Primary

Addresses

Primary practice location

207 Rockaway Tpke
Suite#3a
Lawrence, NY 11559-1216

Mailing address

207 Rockaway Tpke
Suite#3a
Lawrence, NY 11559-1216
Phone (516) 612-2583

National Provider Directory

National Provider Directory

Locations

207 Rockaway Tpke
Ste 3A
Lawrence, NY 11559
Phone (516) 612-2583

NPI Registry JSON

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1467631929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 ROCKAWAY TPKE",
            "address_2": "SUITE#3A",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591216",
            "telephone_number": "516-612-2583",
            "fax_number": "516-612-2584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 ROCKAWAY TPKE",
            "address_2": "SUITE#3A",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591216",
            "telephone_number": "516-612-2583",
            "fax_number": "516-612-2584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE PRODUCT SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "MANELA",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-846-5099"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.