Springfield Surgical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SPRINGFIELD SURGICAL SUPPLY INC

Practice address

127 -15 Merrick Blvd
Springfield Gardens, NY 11434-3421

Phone

(718) 528-7301

Fax

(718) 528-7399

NPI assigned

Dec 28, 2006

Organization subpart

No

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

Authorized official

Name

Shatel Stewart, OWNER

Title

Owner

Phone

(718) 528-7301

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321488000000",
    "number": "1962568832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 15 MERRICK BLVD",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "114343421",
            "telephone_number": "718-528-7301",
            "fax_number": "718-528-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 -15 MERRICK BLVD",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "114343421",
            "telephone_number": "718-528-7301",
            "fax_number": "718-528-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD SURGICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2011-11-17",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "SHATEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-528-7301",
        "authorized_official_credential": "OWNER"
    },
    "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": "02982736",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marshialyn Georgia Spencer-Kelly, LPN
• Claudia Tracey-Ann Spencer, RN
• Sylvia P Springer-Fahie, RN
• Arleen Springer
• Springfield Gardens Endoscopy Associates, LLC
• St. Albans Diaylsis PC
• Josephine Stark
• Crystal Stephens
• Marjorie Emilien Sterlin, LPN
• Stop & Shop Supermarket Company, LLC

• Durable Medical Equipment & Medical Supplies in Springfield Gardens, NY
• Providers in Springfield Gardens, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; 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.