Lifevac LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LIFEVAC LLC

Practice address

120 Lake Ave S # 35
Nesconset, NY 11767-1060

Phone

(877) 543-3822

NPI assigned

Apr 8, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Sean Ellis

Title

VP

Phone

(631) 560-2438

Specialties & licenses 2

Addresses

Other names 1

• LifeVac LLC Doing business as

Locations

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1982457461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 LAKE AVE S # 35",
            "city": "NESCONSET",
            "state": "NY",
            "postal_code": "117671060",
            "telephone_number": "877-543-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 LAKE AVE S # 35",
            "city": "NESCONSET",
            "state": "NY",
            "postal_code": "117671060",
            "telephone_number": "877-543-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEVAC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "631-560-2438",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeVac LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LifeVac LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eric Lehnert, ATC, FNP-C
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• Breanna Angela Lopez, DNP-FNP
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• Daniel Macari Jr., DDS

• Durable Medical Equipment & Medical Supplies in Nesconset, NY
• Providers in Nesconset, 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 Apr 9, 2024; 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.