Organization Active NPI

Charles Pfeiffer Inc.

  • Durable Medical Equipment & Medical Supplies
  • Staten Island, NY
National Provider Identifier
1861547051
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0763244 Issued in NY
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3400252OtherNYG.H.I.
00320618MedicaidNY
96363OtherNYAETNA
G69511OtherNYEMPIRE BLUE CROSS BLUE SH

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.