Pegasus DME Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PEGASUS DME INC

Practice address

1213 Montauk Hwy
Oakdale, NY 11769-1434

Phone

(516) 680-0433

Fax

(877) 366-5492

NPI assigned

Jan 23, 2017

Organization subpart

No

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

Authorized official

Name

John Peter Affenita

Title

Manager

Phone

(516) 680-0433

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1485129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485129600000",
    "number": "1972040400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 GILLETTE AVE",
            "city": "BAYPORT",
            "state": "NY",
            "postal_code": "117051881",
            "telephone_number": "516-680-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 MONTAUK HWY",
            "city": "OAKDALE",
            "state": "NY",
            "postal_code": "117691434",
            "telephone_number": "516-680-0433",
            "fax_number": "877-366-5492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEGASUS DME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-23",
        "last_updated": "2017-01-23",
        "status": "A",
        "authorized_official_last_name": "AFFENITA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "516-680-0433"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Egbebalakhamen Osa, MD
• David Pace, PSY.D.
• Laurie Palladino, RN
• Stacey L Pamlanye, OTR/L
• Krista Lynn Peacock, LMSW
• Jean Pendergast, RN
• Nancy L Petrucelli
• Tracy Anne Peymann, LCSW
• Robert Pisciotta, DC
• Adewale Plumptre, MD

• Prosthetic/Orthotic Supplier in Oakdale, NY
• Providers in Oakdale, NY by specialty
• Prosthetic/Orthotic Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; 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.