Active NPI
Ab Surgical Supply Co., Inc.
- Prosthetic/Orthotic Supplier
- Mount Vernon, NY
National Provider Identifier
1780633016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- AB SURGICAL SUPPLY CO., INC.
- Practice address
- 238 W Lincoln Ave
Mount Vernon, NY 10550-1243 - Phone
- (914) 664-9322
- NPI assigned
- May 5, 2006
- 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
- Mr. Louis Henry Bousche, CO
- Title
- Certified Orthotist
- Phone
- (914) 664-9322
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
238 W Lincoln Ave
Mount Vernon, NY 10550-1243
Mailing address
238 W Lincoln Ave
Mount Vernon, NY 10550-1243
Phone (914) 664-9322
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1237507200000",
"number": "1780633016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "238 W LINCOLN AVE",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "105501243",
"telephone_number": "914-664-9322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "238 W LINCOLN AVE",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "105501243",
"telephone_number": "914-664-9322"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AB SURGICAL SUPPLY CO., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-05",
"last_updated": "2009-03-20",
"status": "A",
"authorized_official_last_name": "BOUSCHE",
"authorized_official_first_name": "LOUIS",
"authorized_official_middle_name": "HENRY",
"authorized_official_title_or_position": "CERTIFIED ORTHOTIST",
"authorized_official_telephone_number": "914-664-9322",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CO"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.