Prime Care Med Supplies Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PRIME CARE MED SUPPLIES INC

Practice address

700 Rockaway Tpke Ste 401
Lawrence, NY 11559-1014

Phone

(646) 391-3379

Fax

(516) 217-6541

NPI assigned

Oct 4, 2023

Last updated

Oct 4, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Abraham Isakov

Title

Ceo

Phone

(646) 391-3379

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1696377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1639959984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ROCKAWAY TPKE STE 401",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591014",
            "telephone_number": "646-391-3379",
            "fax_number": "516-217-6541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 ROCKAWAY TPKE STE 401",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591014",
            "telephone_number": "646-391-3379",
            "fax_number": "516-217-6541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME CARE MED SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-04",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "ISAKOV",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-391-3379"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Lawrence, NY
• Providers in Lawrence, 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 Oct 4, 2023; 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.