Organization Active NPI

Prime Care DME LLC

  • Durable Medical Equipment & Medical Supplies
  • Bay Shore, NY
National Provider Identifier
1962357046
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PRIME CARE DME LLC
Practice address
165 Ithaca St
Bay Shore, NY 11706-4606
Phone
(520) 843-4567
NPI assigned
Mar 3, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Authorized official

Name
Smith Jackson
Title
Manager
Phone
(520) 843-4567

Specialties & licenses 1

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

Addresses

Primary practice location

165 Ithaca St
Bay Shore, NY 11706-4606

Mailing address

165 Ithaca St
Bay Shore, NY 11706-4606

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1772496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780531200000",
    "number": "1962357046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 ITHACA ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117064606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 ITHACA ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117064606",
            "telephone_number": "520-843-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME CARE DME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-03",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "SMITH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "520-843-4567"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.