Organization Active NPI

Superior Spine LLC

  • Durable Medical Equipment & Medical Supplies
  • Staten Island, NY
National Provider Identifier
1740522820
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SUPERIOR SPINE LLC
Practice address
131 Barry St
Staten Island, NY 10309-1601
Phone
(646) 812-0606
Fax
(800) 521-7886
NPI assigned
Mar 26, 2013
Last updated
Mar 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Authorized official

Name
Rosemary Dipaola
Title
Owner
Phone
(646) 812-0606

Specialties & licenses 1

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

Addresses

Primary practice location

131 Barry St
Staten Island, NY 10309-1601

Mailing address

4062 Amboy Rd
Staten Island, NY 10308-2409
Phone (646) 812-0606

National Provider Directory

National Provider Directory

Locations

4062 Amboy Rd
Staten Island, NY 10308
Phone (718) 984-0854

NPI Registry JSON

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1740522820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4062 AMBOY RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103082409",
            "telephone_number": "646-812-0606",
            "fax_number": "800-521-7886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 BARRY ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103091601",
            "telephone_number": "646-812-0606",
            "fax_number": "800-521-7886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR SPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-26",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "DIPAOLA",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-812-0606"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.