Active NPI
Long Island Medical Equipment Corp.
- Durable Medical Equipment & Medical Supplies
- Middle Village, NY
National Provider Identifier
1679635668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- LONG ISLAND MEDICAL EQUIPMENT CORP.
- Practice address
- 75-16 69TH Road
Middle Village, NY 11379 - Phone
- (718) 416-0747
- Fax
- (718) 416-1012
- NPI assigned
- Dec 15, 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
- Rashib Mir
- Title
- Information Officer
- Phone
- (718) 416-0747
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NY | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
75-16 69TH Road
Middle Village, NY 11379
Mailing address
75-16 69TH Road
Middle Village, NY 11379
Phone (718) 416-0747
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01347635 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
7516 69th Rd
Middle Vlg, NY 11379
Phone (718) 416-0747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1679635668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75-16 69TH ROAD",
"city": "MIDDLE VILLAGE",
"state": "NY",
"postal_code": "11379",
"telephone_number": "718-416-0747",
"fax_number": "718-416-1012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75-16 69TH ROAD",
"city": "MIDDLE VILLAGE",
"state": "NY",
"postal_code": "11379",
"telephone_number": "718-416-0747",
"fax_number": "718-416-1012"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LONG ISLAND MEDICAL EQUIPMENT CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-15",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "MIR",
"authorized_official_first_name": "RASHIB",
"authorized_official_title_or_position": "INFORMATION OFFICER",
"authorized_official_telephone_number": "718-416-0747"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NY",
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01347635",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Middle Village, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.