Active NPI
Oj Medtech, Inc
- Durable Medical Equipment & Medical Supplies
- East Islip, NY
National Provider Identifier
1679593446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03288144 | Medicaid | NY | |
| 1249260001 | Other | NY | SUPPLIER NUMBER |
National Provider Directory
National Provider DirectoryMember organizations 4
Organizations listed as members of this organization in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- East Islip, NY
- NPI 1366510554
Member Of
-
- Durable Medical Equipment & Medical Supplies
- West Hartford, CT
- NPI 1316227796
Member Of
-
- Durable Medical Equipment & Medical Supplies
- Pembroke, MA
- NPI 1467467050
Member Of
-
- Durable Medical Equipment & Medical Supplies
- Woonsocket, RI
- NPI 1821316605
Member Of
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.