1659485316 NPI number — A.B. MEDICAL EQUIPMENT CORP.

Table of content: (NPI 1659485316)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659485316 NPI number — A.B. MEDICAL EQUIPMENT CORP.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
A.B. MEDICAL EQUIPMENT CORP.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
PHOENIX MEDICAL EQUIPMENT
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1659485316
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/22/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
176 MERRICK RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LYNBROOK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11563-2732
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-843-1024
Provider Business Mailing Address Fax Number:
718-848-7986

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
176 MERRICK RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LYNBROOK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11563-2732
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-843-1024
Provider Business Practice Location Address Fax Number:
718-848-7986
Provider Enumeration Date:
08/19/2006

Additional Information

Authorized Official

Authorized Official Last Name:
EBERHARDT
Authorized Official First Name:
JANET
Authorized Official Middle Name:
Authorized Official Title or Position:
SECRETARY/TREASURER
Authorized Official Telephone Number:
718-843-1024

Provider Taxonomy Codes

  • Taxonomy code: 332BX2000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: ANC1799 . This is a "OXFORD HEALTH PLANS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 0051395 . This is a "GROUP HEALTH INC" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: P00000010340 . This is a "GROUP HEALTH INC" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 0095199 . This is a "GROUP HEALTH INC" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 586468 . This is a "AETNA INSURANCE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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