Active NPI
Fonte Surgical Supply, Inc.
- Durable Medical Equipment & Medical Supplies
- Rochester, NY
National Provider Identifier
1043680077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01361302 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
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.