One Source M Edia

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ONE SOURCE M EDIA

Practice address

37 Rodney LN
Westbury, NY 11590-1651

Phone

(917) 975-7183

Fax

(888) 268-9368

NPI assigned

Aug 18, 2009

Organization subpart

No

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

Authorized official

Name

Elsie Chamblee

Title

Vice President

Phone

(888) 268-9368

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250553600000",
    "number": "1609008085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1129",
            "city": "COPIAGUE",
            "state": "NY",
            "postal_code": "117260898",
            "telephone_number": "917-975-7183",
            "fax_number": "516-833-5893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 RODNEY LN",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115901651",
            "telephone_number": "917-975-7183",
            "fax_number": "888-268-9368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE SOURCE M EDIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-18",
        "last_updated": "2009-08-18",
        "status": "A",
        "authorized_official_last_name": "CHAMBLEE",
        "authorized_official_first_name": "ELSIE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "888-268-9368"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Samuel Packer, MD

• Durable Medical Equipment & Medical Supplies in Westbury, NY
• Providers in Westbury, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; 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.