Active NPI
Prime Health Medical Supplies
- Durable Medical Equipment & Medical Supplies
- Jackson Heights, NY
National Provider Identifier
1902309644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- PRIME HEALTH MEDICAL SUPPLIES
- Practice address
- 8916 Roosevelt Ave
Jackson Heights, NY 11372-7857 - Phone
- (718) 446-2300
- Fax
- (718) 446-2303
- NPI assigned
- Mar 8, 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
- Ella Abubakar
- Title
- Ops MRG
- Phone
- (718) 446-2300
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Customized Equipment (DME) | 332BC3200X | |||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X |
Addresses
Primary practice location
8916 Roosevelt Ave
Jackson Heights, NY 11372-7857
Mailing address
8916 Roosevelt Ave
Jackson Heights, NY 11372-7857
Phone (718) 446-2300
National Provider Directory
National Provider DirectoryLocations
8916 Roosevelt Ave
Jackson Heights, NY 11372
Phone (718) 446-2300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520467200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1520467200000",
"number": "1902309644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8916 ROOSEVELT AVE",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113727857",
"telephone_number": "718-446-2300",
"fax_number": "718-446-2303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8916 ROOSEVELT AVE",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113727857",
"telephone_number": "718-446-2300",
"fax_number": "718-446-2303"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIME HEALTH MEDICAL SUPPLIES",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-08",
"last_updated": "2018-03-08",
"status": "A",
"authorized_official_last_name": "ABUBAKAR",
"authorized_official_first_name": "ELLA",
"authorized_official_title_or_position": "OPS MRG",
"authorized_official_telephone_number": "718-446-2300"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.