NPIMap

Organization Active NPI

St Charles Hospital DME

  • Durable Medical Equipment & Medical Supplies
  • Port Jefferson, NY
National Provider Identifier
1760799407
Registry record updated Sep 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
5149001H Issued in NY
Legal business name
ST CHARLES HOSPITAL DME
Practice address
200 Belle Tere Road
Port Jefferson, NY 11777
Phone
(631) 474-6000
NPI assigned
Sep 1, 2010
Organization subpart
Yes
Parent organization
ST CHARLES HOSPITAL & REHABILITATION CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 1, 2010

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

Authorized official

Name
Mr. David M Hannigan Jr.
Title
Physician Billing Manager
Phone
(631) 465-6213

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 5149001H NY Primary

Addresses

Primary practice location

200 Belle Tere Road
Port Jefferson, NY 11777

Mailing address

PO Box 329
West Islip, NY 11795-0329
Phone (631) 465-6213

National Provider Directory

National Provider Directory
Tax ID family
St Charles Hosp-Cardio Pu9 organizations share this tax ID, including this one
Part of
St Charles Hosp-Cardio Pu

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283299200000",
    "number": "1760799407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 329",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117950329",
            "telephone_number": "631-465-6213",
            "fax_number": "631-465-6524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BELLE TERE ROAD",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "11777",
            "telephone_number": "631-474-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CHARLES HOSPITAL DME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST CHARLES HOSPITAL & REHABILITATION CENTER",
        "enumeration_date": "2010-09-01",
        "last_updated": "2010-09-01",
        "status": "A",
        "authorized_official_last_name": "HANNIGAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN BILLING MANAGER",
        "authorized_official_telephone_number": "631-465-6213",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "5149001H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jefferson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; 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.