Individual provider Active NPI

Manfred Obermeier

  • Home Health Aide
  • Franklin Square, NY
National Provider Identifier
1558787168
Registry record updated Mar 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
2003L001 Issued in NY
Practice address
752A Hempstead Tpke
Ste 201
Franklin Square, NY 11010-4338
Phone
(516) 307-8070
Fax
(516) 307-8060
NPI assigned
Mar 7, 2014
Last updated
Mar 7, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X 2003L001 NY Primary

Addresses

Primary practice location

752A Hempstead Tpke
Ste 201
Franklin Square, NY 11010-4338

Mailing address

752A Hempstead Tpke
Ste 201
Franklin Square, NY 11010-4338
Phone (516) 307-8070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2003L001NYMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1394150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394150400000",
    "number": "1558787168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "752A HEMPSTEAD TPKE",
            "address_2": "STE 201",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110104338",
            "telephone_number": "516-307-8070",
            "fax_number": "516-307-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "752A HEMPSTEAD TPKE",
            "address_2": "STE 201",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110104338",
            "telephone_number": "516-307-8070",
            "fax_number": "516-307-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERMEIER",
        "first_name": "MANFRED",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-07",
        "last_updated": "2014-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NY",
            "license": "2003L001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin Square, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2014; 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.