Organization Active NPI

Freedom Medical Supplies Inc.

  • Durable Medical Equipment & Medical Supplies
  • Amityville, NY
National Provider Identifier
1942284773
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
FREEDOM MEDICAL SUPPLIES INC.
Practice address
201B Broadway
Amityville, NY 11701-2750
Phone
(631) 264-2388
Fax
(631) 264-2389
NPI assigned
Dec 5, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Authorized official

Name
Mrs. Joanne Evelyn Young
Title
President/Owner
Phone
(631) 264-2388

Specialties & licenses 1

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

Addresses

Primary practice location

201B Broadway
Amityville, NY 11701-2750

Mailing address

201B Broadway
Amityville, NY 11701-2750
Phone (631) 264-2388

Other identifiers 1

IdentifierTypeStateIssuer
02381895MedicaidNY

National Provider Directory

National Provider Directory

Locations

201B Broadway
Amityville, NY 11701
Phone (631) 264-2388

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1942284773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201B BROADWAY",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012750",
            "telephone_number": "631-264-2388",
            "fax_number": "631-264-2389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201B BROADWAY",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012750",
            "telephone_number": "631-264-2388",
            "fax_number": "631-264-2389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM MEDICAL SUPPLIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-05",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "EVELYN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "631-264-2388",
        "authorized_official_name_prefix": "Mrs."
    },
    "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": "02381895",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amityville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.