Organization Active NPI

Genesys Durable Medical Equipment LLC

  • Durable Medical Equipment & Medical Supplies
  • Jacksonville, FL
National Provider Identifier
1790727477
Registry record updated Jun 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
2264 Issued in FL
Legal business name
GENESYS DURABLE MEDICAL EQUIPMENT LLC
Practice address
960 Cesery Blvd
Jacksonville, FL 32211-5608
Phone
(904) 745-5121
Fax
(904) 745-5339
NPI assigned
Jun 10, 2006
Last updated
Jun 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2011

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

Authorized official

Name
Mr. Sonny U Ukpong Sr.
Title
Owner /President
Phone
(904) 745-5121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 2264 FL Primary

Addresses

Primary practice location

960 Cesery Blvd
Jacksonville, FL 32211-5608

Mailing address

960 Cesery Blvd
Jacksonville, FL 32211-5608
Phone (904) 745-5421

National Provider Directory

National Provider Directory

Locations

960 Cesery Blvd
Jacksonville, FL 32211
Phone (904) 745-5121

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308096000000",
    "number": "1790727477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 CESERY BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322115608",
            "telephone_number": "904-745-5421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 CESERY BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322115608",
            "telephone_number": "904-745-5121",
            "fax_number": "904-745-5339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESYS DURABLE MEDICAL EQUIPMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2011-06-15",
        "status": "A",
        "authorized_official_last_name": "UKPONG",
        "authorized_official_first_name": "SONNY",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "OWNER /PRESIDENT",
        "authorized_official_telephone_number": "904-745-5121",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "2264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; 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.