Organization Active NPI

Galaxy Extra, Inc.

  • Home Health Agency
  • Freeport, NY
National Provider Identifier
1558719005
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GALAXY EXTRA, INC.
Practice address
87 Church St
Freeport, NY 11520-3830
Phone
(917) 923-4444
NPI assigned
May 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2016

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

Authorized official

Name
Igor Rick
Title
President/Owner
Phone
(917) 923-4444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

87 Church St
Freeport, NY 11520-3830

Mailing address

87 Church St
Freeport, NY 11520-3830

National Provider Directory

National Provider Directory

Locations

87 Church St
Freeport, NY 11520
Phone (917) 923-4444

NPI Registry JSON

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464134400000",
    "number": "1558719005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 CHURCH ST",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 CHURCH ST",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203830",
            "telephone_number": "917-923-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALAXY EXTRA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-25",
        "last_updated": "2016-05-25",
        "status": "A",
        "authorized_official_last_name": "RICK",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "917-923-4444"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; 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.