Mohawk Medical Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MOHAWK MEDICAL SUPPLY LLC

Practice address

101 W Main St
Mohawk, NY 13407-1017

Phone

(315) 866-3700

Fax

(315) 866-4494

NPI assigned

Mar 26, 2007

Last updated

Jun 21, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

NOAs reported in NPPES

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

Authorized official

Name

Mrs. Maria HuntNPI 1912088758

Title

Owner

Phone

(315) 866-3700

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Maria Hunt

  • Durable Medical Equipment & Medical Supplies
  • Mohawk, NY
  • NPI 1912088758
  NPD (past) Authorized official

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1083731699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W MAIN ST",
            "city": "MOHAWK",
            "state": "NY",
            "postal_code": "134071017",
            "telephone_number": "315-866-3700",
            "fax_number": "315-866-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W MAIN ST",
            "city": "MOHAWK",
            "state": "NY",
            "postal_code": "134071017",
            "telephone_number": "315-866-3700",
            "fax_number": "315-866-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAWK MEDICAL SUPPLY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-866-3700",
        "authorized_official_name_prefix": "Mrs."
    },
    "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": "02090206",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney M Lefave
• David D Liu, MD
• Tara L Marsh, LPN
• Mohawk Central School
• Mohawk Dental Care,PLLC
• Mohawk Valley Ambulance Corps, Inc (Movac)
• Bharatkumar A Patel, DDS
• Sarah Phillips, LMSW
• Angela Jean Pikul, M.S.CCC/SLP
• Chamkirkishtiah Panduranga Rao

• Durable Medical Equipment & Medical Supplies in Mohawk, NY
• Providers in Mohawk, 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 Jun 21, 2018; 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.