Organization Active NPI

Atlantic Coast Medical LLC

  • Durable Medical Equipment & Medical Supplies
  • Lake Worth, FL
National Provider Identifier
1689212425
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ATLANTIC COAST MEDICAL LLC
Practice address
1010 10TH Ave N Ste 2
Lake Worth, FL 33460-2167
Phone
(561) 215-5067
NPI assigned
Dec 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Authorized official

Name
Emma Kennedy-Crosby
Title
Member Manager
Phone
(800) 465-3203

Specialties & licenses 1

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

Addresses

Primary practice location

1010 10TH Ave N Ste 2
Lake Worth, FL 33460-2167

Mailing address

1010 10TH Ave N Ste 2
Lake Worth, FL 33460-2167
Phone (561) 215-5067

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603670400000",
    "number": "1689212425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 10TH AVE N STE 2",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334602167",
            "telephone_number": "561-215-5067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 10TH AVE N STE 2",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334602167",
            "telephone_number": "561-215-5067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC COAST MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-11",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A",
        "authorized_official_last_name": "KENNEDY-CROSBY",
        "authorized_official_first_name": "EMMA",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "800-465-3203"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.