Active NPI
Ribam Medical Supply LLC
- Durable Medical Equipment & Medical Supplies
- Hollis, NY
National Provider Identifier
1649442153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- RIBAM MEDICAL SUPPLY LLC
- Practice address
- 189-07 Jamaica Avenue
Hollis, NY 11423 - Phone
- (718) 464-8410
- Fax
- (718) 464-8411
- NPI assigned
- Mar 25, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Majemite O Okerentugba, LICENSED PRACTICAL N
- Title
- Ceo
- Phone
- (718) 464-8410
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NY | Primary | |
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
189-07 Jamaica Avenue
Hollis, NY 11423
Mailing address
189-07 Jamaica Avenue
Hollis, NY 11423
Phone (718) 464-8410
National Provider Directory
National Provider DirectoryLocations
18907 Jamaica Ave
Hollis, NY 11423
Phone (718) 464-8410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216857600000",
"number": "1649442153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "189-07 JAMAICA AVENUE",
"city": "HOLLIS",
"state": "NY",
"postal_code": "11423",
"telephone_number": "718-464-8410",
"fax_number": "718-464-8411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "189-07 JAMAICA AVENUE",
"city": "HOLLIS",
"state": "NY",
"postal_code": "11423",
"telephone_number": "718-464-8410",
"fax_number": "718-464-8411"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIBAM MEDICAL SUPPLY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-25",
"last_updated": "2008-07-24",
"status": "A",
"authorized_official_last_name": "OKERENTUGBA",
"authorized_official_first_name": "MAJEMITE",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "718-464-8410",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LICENSED PRACTICAL N"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NY",
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollis, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.