Goodcare Medical Supplies

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

GOODCARE MEDICAL SUPPLIES

Practice address

1330 Niagara Falls Blvd Ste 202
Tonawanda, NY 14150-8925

Phone

(718) 219-0090

Fax

(718) 228-8801

NPI assigned

Sep 22, 2020

Organization subpart

No

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

Authorized official

Name

Akeesha Pena

Title

President

Phone

(718) 219-0090

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• GOOD CARE MEDICAL SUPPLIES Former legal business name

Electronic endpoints 1

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1043826381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 NIAGARA FALLS BLVD STE 202",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141508925",
            "telephone_number": "718-219-0090",
            "fax_number": "718-228-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 NIAGARA FALLS BLVD STE 202",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141508925",
            "telephone_number": "718-219-0090",
            "fax_number": "718-228-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODCARE MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-22",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "AKEESHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-219-0090"
    },
    "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": "000000",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "abchomecaresupplies@gmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1330 Niagara Falls Blvd Ste 202",
            "city": "Tonawanda",
            "state": "NY",
            "country_code": "US",
            "postal_code": "141508925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "GOOD CARE MEDICAL SUPPLIES",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Poorna Sudha Goli
• Conor Vincent Gollegly
• Steven Gonser, PT DPT
• Federico Gonzalez-Doldan, M.D.
• Goodcare Home Health Services, Inc.
• Shannon Gowen
• Mary Graf
• Rebecca Lynn Graham, FNP-BC
• Kimberly Ann Grande, MS
• Mary Gray, RN

• Durable Medical Equipment & Medical Supplies in Tonawanda, NY
• Providers in Tonawanda, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.