Organization Active NPI

Pro Fitness, Inc

  • Durable Medical Equipment & Medical Supplies
  • Bay Shore, NY
National Provider Identifier
1982715066
Registry record updated Sep 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PRO FITNESS, INC
Practice address
1973 Union Blvd
Bay Shore, NY 11706-7956
Phone
(631) 666-7800
Fax
(631) 666-7801
NPI assigned
Aug 31, 2006
Last updated
Sep 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2008

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

Authorized official

Name
Mr. Owen J Murtagh
Title
President
Phone
(631) 666-7800

Specialties & licenses 1

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

Addresses

Primary practice location

1973 Union Blvd
Bay Shore, NY 11706-7956

Mailing address

1973 Union Blvd
Bay Shore, NY 11706-7956
Phone (631) 666-7800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1982715066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1973 UNION BLVD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117067956",
            "telephone_number": "631-666-7800",
            "fax_number": "631-666-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1973 UNION BLVD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117067956",
            "telephone_number": "631-666-7800",
            "fax_number": "631-666-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO FITNESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "MURTAGH",
        "authorized_official_first_name": "OWEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-666-7800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "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 Sep 15, 2008; 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.