Organization Active NPI

South Shore Medical Supplies LLC

  • Durable Medical Equipment & Medical Supplies
  • Fort Lauderdale, FL
National Provider Identifier
1821615071
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SOUTH SHORE MEDICAL SUPPLIES LLC
Practice address
1975 E Sunrise Blvd Ste 624
Fort Lauderdale, FL 33304-1453
Phone
(561) 486-9263
NPI assigned
Jul 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Authorized official

Name
Eric Ginsberg
Title
Authorized Member
Phone
(561) 486-9263

Specialties & licenses 1

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

Addresses

Primary practice location

1975 E Sunrise Blvd Ste 624
Fort Lauderdale, FL 33304-1453

Mailing address

134 NW 16TH St Ste 2
Boca Raton, FL 33432-1691
Phone (516) 790-3861

National Provider Directory

National Provider Directory

Locations

1975 E Sunrise Blvd
Ste 624
Ft Lauderdale, FL 33304
Phone (561) 486-9263

NPI Registry JSON

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607644800000",
    "number": "1821615071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 NW 16TH ST STE 2",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334321691",
            "telephone_number": "516-790-3861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 E SUNRISE BLVD STE 624",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333041453",
            "telephone_number": "561-486-9263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-02",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A",
        "authorized_official_last_name": "GINSBERG",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "AUTHORIZED MEMBER",
        "authorized_official_telephone_number": "561-486-9263"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.