Amon Medical Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

AMON MEDICAL SUPPLY LLC

Practice address

609 Gold Ave SW Ste 1H
Albuquerque, NM 87102-3119

Phone

(505) 717-1903

NPI assigned

Feb 1, 2024

Last updated

Oct 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alden Montoya DelgadoNPI 1902669070

Title

Manager

Phone

(505) 738-9230

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alden Montoya Delgado

  • Behavior Technician
  • Rio Rancho, NM
  • NPI 1902669070

  Durable Medical Equipment & Medical Supplies

  NPD Authorized official

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1043073125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 GOLD AVE SW STE 1H",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023119",
            "telephone_number": "505-717-1903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 GOLD AVE SW STE 1H",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023119",
            "telephone_number": "505-717-1903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMON MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "MONTOYA DELGADO",
        "authorized_official_first_name": "ALDEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "505-738-9230"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Durable Medical Equipment & Medical Supplies in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.