Organization Active NPI

PSC Medical Supply Group Inc.

  • Oxygen Equipment & Supplies (DME)
  • Ozone Park, NY
National Provider Identifier
1891703179
Registry record updated Aug 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
PSC MEDICAL SUPPLY GROUP INC.
Practice address
103-02 93 St
Ozone Park, NY 11417-2607
Phone
(718) 322-6600
Fax
(718) 322-7846
NPI assigned
Aug 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2011

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

Authorized official

Name
Mr. Pedro Severino
Title
Manager
Phone
(718) 322-6600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

103-02 93 St
Ozone Park, NY 11417-2607

Mailing address

10302 93Rd St
Ozone Park, NY 11417-2418
Phone (718) 322-6600

National Provider Directory

National Provider Directory

Locations

9806 101st Ave
Ozone Park, NY 11416
Phone (718) 322-6600

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312761600000",
    "number": "1891703179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10302 93RD ST",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114172418",
            "telephone_number": "718-322-6600",
            "fax_number": "718-322-7846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103-02 93 ST",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114172607",
            "telephone_number": "718-322-6600",
            "fax_number": "718-322-7846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSC MEDICAL SUPPLY GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2011-08-08",
        "status": "A",
        "authorized_official_last_name": "SEVERINO",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-322-6600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ozone Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; 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.