Organization Active NPI

Medtech Specialties LLC

  • Durable Medical Equipment & Medical Supplies
  • Garden City, NY
National Provider Identifier
1851874937
Registry record updated Sep 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDTECH SPECIALTIES LLC
Practice address
825 E Gate Blvd Ste 100
Garden City, NY 11530-2136
Phone
(516) 974-5721
NPI assigned
Sep 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2018

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

Authorized official

Name
Mr. Christopher Mimnaugh
Title
Partner
Phone
(516) 458-0571

Specialties & licenses 1

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

Addresses

Primary practice location

825 E Gate Blvd Ste 100
Garden City, NY 11530-2136

Mailing address

825 E Gate Blvd Ste 100
Garden City, NY 11530-2136

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536796800000",
    "number": "1851874937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 E GATE BLVD STE 100",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115302136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 E GATE BLVD STE 100",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115302136",
            "telephone_number": "516-974-5721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDTECH SPECIALTIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-13",
        "last_updated": "2018-09-13",
        "status": "A",
        "authorized_official_last_name": "MIMNAUGH",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "516-458-0571",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; 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.