Evis Medical Equipment Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

EVIS MEDICAL EQUIPMENT INC

Practice address

348 N Main St
West Hartford, CT 06117-2526

Phone

(860) 296-3565

Fax

(860) 296-3566

NPI assigned

Aug 6, 2014

Last updated

Aug 6, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gisella P Moncayo

Title

Ceo/President

Phone

(860) 296-3565

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Evis Medical Equipment Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Evis Medical Equipment Inc

  • Oxygen Equipment & Supplies (DME)
  • Hartford, CT
  • NPI 1477805612
  NPD tax ID

Locations

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407283200000",
    "number": "1922417732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 SOUTH ST STE A",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061101963",
            "telephone_number": "860-296-3565",
            "fax_number": "860-296-3566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 N MAIN ST",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061172526",
            "telephone_number": "860-296-3565",
            "fax_number": "860-296-3566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVIS MEDICAL EQUIPMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-06",
        "last_updated": "2014-08-06",
        "status": "A",
        "authorized_official_last_name": "MONCAYO",
        "authorized_official_first_name": "GISELLA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "860-296-3565"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004143228",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sydney Epstein, DMD
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• Lori Ezzedine, MA LPC
• Cierra Helenia Carr Fabien, NP
• Facilitating Growth

• Oxygen Equipment & Supplies (DME) in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Oxygen Equipment & Supplies (DME) in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; 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.