Organization Active NPI

Innova Medical Products LLC

  • Durable Medical Equipment & Medical Supplies
  • South Burlington, VT
National Provider Identifier
1033084959
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
INNOVA MEDICAL PRODUCTS LLC
Practice address
192 Tilley Dr # 1146
South Burlington, VT 05403-4440
Phone
(802) 847-5865
NPI assigned
Oct 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Authorized official

Name
Mr. Nick Kane
Title
Director of Operations
Phone
(860) 841-3066

Specialties & licenses 1

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

Addresses

Primary practice location

192 Tilley Dr # 1146
South Burlington, VT 05403-4440

Mailing address

669 Boston Post Rd Ste 8
Guilford, CT 06437-2739
Phone (860) 841-3066

National Provider Directory

National Provider Directory

Locations

192 Tilley Dr
#1146
South Burlington, VT 05403
Phone (802) 847-5865

NPI Registry JSON

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

{
    "created_epoch": "1759968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1033084959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "669 BOSTON POST RD STE 8",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372739",
            "telephone_number": "860-841-3066",
            "fax_number": "860-841-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 TILLEY DR # 1146",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054034440",
            "telephone_number": "802-847-5865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVA MEDICAL PRODUCTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-09",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A",
        "authorized_official_last_name": "KANE",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "860-841-3066",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Burlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.