Satya Prakash Srivastava, CPO

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

332BC3200X Issued in NY

Practice address

117 Broadway
West Hempstead, NY 11552-1409

Phone

(516) 565-1519

Fax

(516) 565-1519

NPI assigned

May 21, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881802700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 BROADWAY",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115521409",
            "telephone_number": "516-565-1519",
            "fax_number": "516-565-1519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 BROADWAY",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115521409",
            "telephone_number": "516-565-1519",
            "fax_number": "516-565-1519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRIVASTAVA",
        "first_name": "SATYA",
        "middle_name": "PRAKASH",
        "credential": "CPO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NY",
            "license": "332BC3200X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00930781",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in West Hempstead, NY
• Providers in West Hempstead, NY by specialty
• Customized Equipment (DME) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.