Organization Active NPI

Mediquip Products Corp.

  • Durable Medical Equipment & Medical Supplies
  • Staten Island, NY
National Provider Identifier
1780710368
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
026675 Issued in NY
Legal business name
MEDIQUIP PRODUCTS CORP.
Practice address
463 Midland Ave
Staten Island, NY 10306-5103
Phone
(718) 667-6970
Fax
(718) 667-6972
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Steven Klein
Title
President
Phone
(718) 667-6970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 026675 NY Primary

Addresses

Primary practice location

463 Midland Ave
Staten Island, NY 10306-5103

Mailing address

463 Midland Ave
Staten Island, NY 10306-5103
Phone (718) 667-6970

Other identifiers 1

IdentifierTypeStateIssuer
02518078MedicaidNY

National Provider Directory

National Provider Directory

Locations

463 Midland Ave
Staten Island, NY 10306
Phone (718) 667-6970

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780710368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463 MIDLAND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103065103",
            "telephone_number": "718-667-6970",
            "fax_number": "718-667-6972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 MIDLAND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103065103",
            "telephone_number": "718-667-6970",
            "fax_number": "718-667-6972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIQUIP PRODUCTS CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-667-6970",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "026675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02518078",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

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.

Verify at the official NPI Registry.