Organization Active NPI

Bayshore Duramedical

  • Oxygen Equipment & Supplies (DME)
  • Miami Lakes, FL
National Provider Identifier
1982032496
Registry record updated Oct 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
BAYSHORE DURAMEDICAL
Practice address
7835 NW 148TH St
Miami Lakes, FL 33016-1554
Phone
(305) 821-1202
Fax
(305) 821-1297
NPI assigned
Oct 18, 2013
Last updated
Oct 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2013

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

Authorized official

Name
Robert Mendia
Title
President
Phone
(305) 821-1202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X FL Primary

Addresses

Primary practice location

7835 NW 148TH St
Miami Lakes, FL 33016-1554

Mailing address

7835 NW 148TH St
Miami Lakes, FL 33016-1554
Phone (305) 821-1202

Other identifiers 1

IdentifierTypeStateIssuer
950369200MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Bayshore Duramedical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1382054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382054400000",
    "number": "1982032496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7835 NW 148TH ST",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161554",
            "telephone_number": "305-821-1202",
            "fax_number": "305-821-1297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7835 NW 148TH ST",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161554",
            "telephone_number": "305-821-1202",
            "fax_number": "305-821-1297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSHORE DURAMEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-18",
        "last_updated": "2013-10-18",
        "status": "A",
        "authorized_official_last_name": "MENDIA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-821-1202"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "950369200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2013; 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.