Organization Active NPI

Surgishop LLC

  • Durable Medical Equipment & Medical Supplies
  • Bethpage, NY
National Provider Identifier
1740066430
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SURGISHOP LLC
Practice address
4111 Hempstead Tpke
Bethpage, NY 11714-5605
Phone
(516) 544-8277
NPI assigned
Sep 7, 2023
Last updated
Sep 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Authorized official

Name
Adeel Ahmed
Title
Owner
Phone
(347) 761-9720

Specialties & licenses 1

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

Addresses

Primary practice location

4111 Hempstead Tpke
Bethpage, NY 11714-5605

Mailing address

4111 Hempstead Tpke
Bethpage, NY 11714-5605
Phone (516) 544-8277

National Provider Directory

National Provider Directory

Locations

4111 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 544-8277

NPI Registry JSON

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1740066430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 HEMPSTEAD TPKE",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117145605",
            "telephone_number": "516-544-8277",
            "fax_number": "516-515-9149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 HEMPSTEAD TPKE",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117145605",
            "telephone_number": "516-544-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGISHOP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "ADEEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-761-9720"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethpage, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.