Organization Active NPI

Ab Surgical Supply Co., Inc.

  • Prosthetic/Orthotic Supplier
  • Mount Vernon, NY
National Provider Identifier
1780633016
Registry record updated Mar 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
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

Updated by the provider on Mar 20, 2009

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.