Organization Active NPI

Cynnies Medical Supply Home Equipment Co.

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Long Beach, CA
National Provider Identifier
1861474157
Registry record updated Apr 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
License
103544 & 17854 Issued in CA
Legal business name
CYNNIES MEDICAL SUPPLY HOME EQUIPMENT CO.
Doing business as
Cynnies Medical Supply Home Equipment Co
Practice address
353 E South St
Long Beach, CA 90805-4633
Phone
(562) 984-0550
Fax
(562) 984-0552
NPI assigned
Nov 14, 2005
Last updated
Apr 28, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2009

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

Authorized official

Name
Mrs. Osita Ngozi Ayeni, N/A
Title
Managing Director
Phone
(562) 984-0550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 103544 & 17854 CA Primary

Addresses

Primary practice location

353 E South St
Long Beach, CA 90805-4633

Mailing address

PO Box 17894
Long Beach, CA 90807-7894
Phone (562) 984-0550

Other names 1

  • CYNNIES MEDICAL SUPPLY HOME EQUIPMENT CO Doing business as

National Provider Directory

National Provider Directory

Locations

353 E South St
Long Beach, CA 90805
Phone (562) 984-0550

NPI Registry JSON

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240876800000",
    "number": "1861474157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17894",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908077894",
            "telephone_number": "562-984-0550",
            "fax_number": "562-984-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 E SOUTH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908054633",
            "telephone_number": "562-984-0550",
            "fax_number": "562-984-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNNIES MEDICAL SUPPLY HOME EQUIPMENT CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-14",
        "last_updated": "2009-04-28",
        "status": "A",
        "authorized_official_last_name": "AYENI",
        "authorized_official_first_name": "OSITA",
        "authorized_official_middle_name": "NGOZI",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "562-984-0550",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "N/A"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "CA",
            "license": "103544 & 17854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CYNNIES MEDICAL SUPPLY HOME EQUIPMENT CO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.