Prime Care Medical Supplies Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PRIME CARE MEDICAL SUPPLIES INC.

Practice address

25 Corporate Drive
Holtsville, NY 11742

Phone

(631) 447-0093

Fax

(631) 447-0148

NPI assigned

Aug 31, 2005

Organization subpart

No

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

Authorized official

Name

Peter Amico

Title

President

Phone

(631) 447-0093

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacqueline Schumach

  • Durable Medical Equipment & Medical Supplies
  • Holtsville, NY
  • NPI 1316784887
  NPD (past)

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475712000000",
    "number": "1861486268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CORPORATE DRIVE",
            "city": "HOLTSVILLE",
            "state": "NY",
            "postal_code": "11742",
            "telephone_number": "631-447-0093",
            "fax_number": "631-447-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CORPORATE DRIVE",
            "city": "HOLTSVILLE",
            "state": "NY",
            "postal_code": "11742",
            "telephone_number": "631-447-0093",
            "fax_number": "631-447-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME CARE MEDICAL SUPPLIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-31",
        "last_updated": "2016-10-06",
        "status": "A",
        "authorized_official_last_name": "AMICO",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-447-0093"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00706698",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Lee Pollard Jr.
• Jacqueline Porcelli, LCSW
• Portion Road Acupuncture PLLC
• Christina Powers, MSED
• Yvonne Marie Pratt, LCSWR
• Paula Jean Quintana
• Brittany Ann Rachuta
• Sivaranjani Ramamoorthy, DNP, ANP-C, PMHNP-BC
• Renae Joanna Repice, RN
• Vanessa Ellen Rivera, LPN

• Durable Medical Equipment & Medical Supplies in Holtsville, NY
• Providers in Holtsville, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; 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.