Organization Active NPI

Seaside DME of Ny, Inc

  • Oxygen Equipment & Supplies (DME)
  • Brooklyn, NY
National Provider Identifier
1518587492
Registry record updated Apr 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
SEASIDE DME OF NY, INC
Practice address
8701 18TH Ave
Brooklyn, NY 11214-3735
Phone
(718) 839-0376
Fax
(718) 504-7308
NPI assigned
Apr 21, 2020
Last updated
Apr 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2020

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

Authorized official

Name
Jingling TangNPI 1639365976
Title
President
Phone
(718) 839-0376

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

8701 18TH Ave
Brooklyn, NY 11214-3735

Mailing address

1775 Bay Ridge Pkwy
Brooklyn, NY 11204-5622
Phone (718) 839-0376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200609001435 NY DME Supplier - Medical Supply Company 6507287059 Practice locations: Brooklyn, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Seaside DME of Ny, Inc8701 18TH Ave, Brooklyn, NY 11214-3735(718) 885-5526 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipment|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Cru… Accepts assignmentParticipating since Jun 1, 2020

National Provider Directory

National Provider Directory

Locations

8701 18th Ave
Brooklyn, NY 11214
Phone (718) 839-0376

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587427200000",
    "number": "1518587492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 BAY RIDGE PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112045622",
            "telephone_number": "718-839-0376",
            "fax_number": "718-504-7308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8701 18TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112143735",
            "telephone_number": "718-839-0376",
            "fax_number": "718-504-7308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASIDE DME OF NY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-21",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A",
        "authorized_official_last_name": "TANG",
        "authorized_official_first_name": "JINGLING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-839-0376"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.