Modifications & Equipment for Independent Living

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

MODIFICATIONS & EQUIPMENT FOR INDEPENDENT LIVING

Practice address

339 Smith Hill Rd
Troy, NY 12180-8985

Phone

(518) 279-0888

Fax

(518) 279-1560

NPI assigned

Apr 20, 2007

Organization subpart

No

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

Authorized official

Name

Richard John Lemner

Title

Owner

Phone

(518) 279-0888

Specialties & licenses 1

Addresses

Other identifiers 5

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1003033887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 SMITH HILL RD",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121808985",
            "telephone_number": "518-279-0888",
            "fax_number": "518-279-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 SMITH HILL RD",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121808985",
            "telephone_number": "518-279-0888",
            "fax_number": "518-279-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODIFICATIONS & EQUIPMENT FOR INDEPENDENT LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "LEMNER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-279-0888"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TBI",
            "identifier": "01884220",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01807845",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01884220",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO DME PROVIDER",
            "identifier": "10070305",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO DME PROVIDER",
            "identifier": "000402661000",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arturo Miranda Gelpi, M.D.
• Jennifer Mirdita
• Christopher F Miron, M.S. ED.
• Dareena D Mirrow, PA
• Yvette Mitchell
• Mohalk Inc (Mohawk Pharmacy)
• Mohalk Inc
• Paula Ann Moir, RPH
• Cynthia M Monaghan, FNP
• Ronald Stephen Monson, RPA-C

• Customized Equipment (DME) in Troy, NY
• Providers in Troy, NY by specialty
• Customized Equipment (DME) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.