Organization Active NPI

Home Health Pavilion Inc

  • Durable Medical Equipment & Medical Supplies
  • Newburgh, NY
National Provider Identifier
1932109345
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HOME HEALTH PAVILION INC
Practice address
5027 Route 9W
Newburgh, NY 12550-1946
Phone
(845) 569-1250
NPI assigned
Jul 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Asrar Ahmed
Title
President
Phone
(845) 569-1250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

5027 Route 9W
Newburgh, NY 12550-1946

Mailing address

5027 Route 9W
Newburgh, NY 12550-1946
Phone (845) 569-1250

Other identifiers 1

IdentifierTypeStateIssuer
01252060MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930069060 NY DME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 2961529433 Practice locations: Newburgh, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Home Health Pavilion Inc5027 Route 9W, Newburgh, NY 12550-1946(845) 569-1250 Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Contracture Treatment Devices: Dynamic Splint|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Infrared Heating Pa… Does not accept assignmentParticipating since Jan 1, 2002

National Provider Directory

National Provider Directory

Locations

5027 Route 9W
Newburgh, NY 12550
Phone (845) 385-2273

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932109345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5027 ROUTE 9W",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125501946",
            "telephone_number": "845-569-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5027 ROUTE 9W",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125501946",
            "telephone_number": "845-569-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME HEALTH PAVILION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "ASRAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-569-1250",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01252060",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.