Organization Active NPI

All South Shore Medical Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Baldwin, NY
National Provider Identifier
1760760755
Registry record updated Apr 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ALL SOUTH SHORE MEDICAL SUPPLY INC
Practice address
586 Merrick Rd
Baldwin, NY 11510-3501
Phone
(516) 543-5690
Fax
(516) 543-5691
NPI assigned
Jul 26, 2011
Last updated
Apr 18, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2017

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

Authorized official

Name
Mr. Thomas O Egwabor
Title
Manager
Phone
(516) 984-7845

Specialties & licenses 1

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

Addresses

Primary practice location

586 Merrick Rd
Baldwin, NY 11510-3501

Mailing address

586 Merrick Rd
Baldwin, NY 11510-3501
Phone (516) 543-5690

National Provider Directory

National Provider Directory

Locations

586 Merrick Rd
Baldwin, NY 11510
Phone (516) 543-5690

221 Merrick Rd
Oceanside, NY 11572
Phone (516) 543-5690

NPI Registry JSON

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492473600000",
    "number": "1760760755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "586 MERRICK RD",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115103501",
            "telephone_number": "516-543-5690",
            "fax_number": "516-543-5691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "586 MERRICK RD",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115103501",
            "telephone_number": "516-543-5690",
            "fax_number": "516-543-5691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL SOUTH SHORE MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-26",
        "last_updated": "2017-04-18",
        "status": "A",
        "authorized_official_last_name": "EGWABOR",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "516-984-7845",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwin, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; 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.