Active NPI
Somto Medical Supply and Home Health Care
- Durable Medical Equipment & Medical Supplies
- St Augustine, FL
National Provider Identifier
1770604258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 35707
- Legal business name
- SOMTO MEDICAL SUPPLY AND HOME HEALTH CARE
- Practice address
- 2825 Lewis Speedway
St Augustine, FL 32084-8668 - Phone
- (904) 347-4357
- Fax
- (904) 823-9541
- NPI assigned
- Apr 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Imelda Azuoma Nwoga, 042452
- Title
- Businessowner
- Phone
- (904) 347-4357
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 35707 | FL | Primary |
Addresses
Primary practice location
2825 Lewis Speedway
St Augustine, FL 32084-8668
Mailing address
1205 Ellington CT
St Augustine, FL 32084-1832
Phone (904) 347-4357
National Provider Directory
National Provider DirectoryLocations
2825 Lewis Speedway
St Augustine, FL 32084
Phone (904) 347-4357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1770604258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 ELLINGTON CT",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320841832",
"telephone_number": "904-347-4357",
"fax_number": "904-823-9541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2825 LEWIS SPEEDWAY",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320848668",
"telephone_number": "904-347-4357",
"fax_number": "904-823-9541"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOMTO MEDICAL SUPPLY AND HOME HEALTH CARE",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "NWOGA",
"authorized_official_first_name": "IMELDA",
"authorized_official_middle_name": "AZUOMA",
"authorized_official_title_or_position": "BUSINESSOWNER",
"authorized_official_telephone_number": "904-347-4357",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "042452"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "FL",
"license": "35707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.