Organization Active NPI

Fonte Surgical Supply, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Rochester, NY
National Provider Identifier
1043680077
Registry record updated Oct 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
FONTE SURGICAL SUPPLY, INC.
Practice address
1900 Clinton Ave S
Suite320
Rochester, NY 14618-5621
Phone
(585) 244-4747
NPI assigned
Oct 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2015

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

Authorized official

Name
Mr. Michael D Fonte
Title
Ceo
Phone
(585) 338-1000

Specialties & licenses 1

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

Addresses

Primary practice location

1900 Clinton Ave S
Suite320
Rochester, NY 14618-5621

Mailing address

PO Box 17890
Rochester, NY 14617-0890
Phone (585) 338-1000

Other identifiers 1

IdentifierTypeStateIssuer
01361302MedicaidNY

National Provider Directory

National Provider Directory

Locations

1900 S Clinton Ave
#320
Rochester, NY 14618
Phone (585) 244-4747

892 E Ridge Rd
Rochester, NY 14621
Phone (585) 338-1000

1900 S Clinton Ave
Ste 320
Rochester, NY 14618
Phone (585) 244-4747

NPI Registry JSON

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

{
    "created_epoch": "1443744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443744000000",
    "number": "1043680077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17890",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146170890",
            "telephone_number": "585-338-1000",
            "fax_number": "585-338-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 CLINTON AVE S",
            "address_2": "SUITE320",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185621",
            "telephone_number": "585-244-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FONTE SURGICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-02",
        "last_updated": "2015-10-02",
        "status": "A",
        "authorized_official_last_name": "FONTE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "585-338-1000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01361302",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; 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.