Active NPI
Charles Pfeiffer Inc.
- Durable Medical Equipment & Medical Supplies
- Staten Island, NY
National Provider Identifier
1861547051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0763244
- Legal business name
- CHARLES PFEIFFER INC.
- Practice address
- 511 Jewett Ave
Staten Island, NY 10302 - Phone
- (718) 447-6629
- Fax
- (718) 273-4024
- NPI assigned
- Jan 25, 2007
- Last updated
- Aug 9, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ed Salley
- Title
- President
- Phone
- (718) 447-6629
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NY | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0763244 | NY | Primary |
| Prosthetic/Orthotic Supplier | 335E00000X | 0763244 | NY |
Addresses
Primary practice location
511 Jewett Ave
Staten Island, NY 10302
Mailing address
511 Jewett Ave
Staten Island, NY 10302-2615
Phone (718) 447-6629
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3400252 | Other | NY | G.H.I. |
| 00320618 | Medicaid | NY | |
| 96363 | Other | NY | AETNA |
| G69511 | Other | NY | EMPIRE BLUE CROSS BLUE SH |
National Provider Directory
National Provider DirectoryLocations
511 Jewett Ave
Staten Island, NY 10302
Phone (718) 447-6629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1533772800000",
"number": "1861547051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 JEWETT AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103022615",
"telephone_number": "718-447-6629",
"fax_number": "718-273-4024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 JEWETT AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10302",
"telephone_number": "718-447-6629",
"fax_number": "718-273-4024"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARLES PFEIFFER INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-25",
"last_updated": "2018-08-09",
"status": "A",
"authorized_official_last_name": "SALLEY",
"authorized_official_first_name": "ED",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-447-6629"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NY",
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NY",
"license": "0763244",
"primary": true
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "NY",
"license": "0763244",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "G.H.I.",
"identifier": "3400252",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00320618",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "96363",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BLUE CROSS BLUE SH",
"identifier": "G69511",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.