Peemed Express Care LLC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Legal business name

PEEMED EXPRESS CARE LLC

Practice address

15 S Village Dr
Bellport, NY 11713-1215

Phone

(917) 968-9607

NPI assigned

Nov 18, 2024

Organization subpart

No

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

Authorized official

Name

Prince Achoakawa

Title

Owner

Phone

(307) 461-9213

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1992520712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 S VILLAGE DR",
            "city": "BELLPORT",
            "state": "NY",
            "postal_code": "117131215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 S VILLAGE DR",
            "city": "BELLPORT",
            "state": "NY",
            "postal_code": "117131215",
            "telephone_number": "917-968-9607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEEMED EXPRESS CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "ACHOAKAWA",
        "authorized_official_first_name": "PRINCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-461-9213"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyri Oliver, LPN
• Michael Oshea
• Charlese Ji-Ara Pannell
• Maryann Parbus, RN
• Roodal L Partap
• Bettina Pennon, CASAC
• Jessica Pentecost
• Sarah Perrino
• Yolette Pierre
• Kim Denise Potter, LPN

• Medical Physician Assistant in Bellport, NY
• Providers in Bellport, NY by specialty
• Medical Physician Assistant in New York

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