Organization Active NPI

Oj Medtech, Inc

  • Durable Medical Equipment & Medical Supplies
  • East Islip, NY
National Provider Identifier
1679593446
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
OJ MEDTECH, INC
Practice address
200 Carleton Ave
East Islip, NY 11730-1222
Phone
(631) 666-5000
Fax
(631) 666-5444
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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

Authorized official

Name
Mr. Peter H Tallas
Title
Ceo
Phone
(781) 829-9813

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

200 Carleton Ave
East Islip, NY 11730-1222

Mailing address

200 Carleton Ave
East Islip, NY 11730-1222
Phone (631) 666-5000

Other identifiers 2

IdentifierTypeStateIssuer
03288144MedicaidNY
1249260001OtherNYSUPPLIER NUMBER

National Provider Directory

National Provider Directory

Member organizations 4

Organizations listed as members of this organization in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578873600000",
    "number": "1679593446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CARLETON AVE",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117301222",
            "telephone_number": "631-666-5000",
            "fax_number": "631-666-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CARLETON AVE",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117301222",
            "telephone_number": "631-666-5000",
            "fax_number": "631-666-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OJ MEDTECH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A",
        "authorized_official_last_name": "TALLAS",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "781-829-9813",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03288144",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPPLIER NUMBER",
            "identifier": "1249260001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; 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.