Organization Active NPI

Medwiz Solutions, LLC

  • Durable Medical Equipment & Medical Supplies
  • Bardonia, NY
National Provider Identifier
1114002383
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
5619010001 Issued in NY
Legal business name
MEDWIZ SOLUTIONS, LLC
Practice address
167 Route 304
Bardonia, NY 10954-2050
Phone
(845) 624-8080
Fax
(845) 624-8055
NPI assigned
Oct 26, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Eric E. Newhouse
Title
President
Phone
(845) 624-8080

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 5619010001 NY Primary
Durable Medical Equipment & Medical Supplies 332B00000X 02740210 NY

Addresses

Primary practice location

167 Route 304
Bardonia, NY 10954-2050

Mailing address

167 Route 304
Bardonia, NY 10954-2050
Phone (845) 624-8080

Other identifiers 1

IdentifierTypeStateIssuer
02740210MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114002383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 ROUTE 304",
            "city": "BARDONIA",
            "state": "NY",
            "postal_code": "109542050",
            "telephone_number": "845-624-8080",
            "fax_number": "845-624-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 ROUTE 304",
            "city": "BARDONIA",
            "state": "NY",
            "postal_code": "109542050",
            "telephone_number": "845-624-8080",
            "fax_number": "845-624-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDWIZ SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEWHOUSE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-624-8080",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "5619010001",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "02740210",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02740210",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bardonia, NY

Sources for this page

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