Dedicated Diabetic Supplies, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DEDICATED DIABETIC SUPPLIES, INC

Practice address

54 Main St Ste 204
Tarrytown, NY 10591-3660

Phone

(914) 631-6394

Fax

(914) 631-6395

NPI assigned

Aug 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Christopher Michael Weaver

Title

President

Phone

(914) 631-6394

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114939154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 MAIN ST STE 204",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105913660",
            "telephone_number": "914-631-6394",
            "fax_number": "914-631-6395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 MAIN ST STE 204",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105913660",
            "telephone_number": "914-631-6394",
            "fax_number": "914-631-6395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEDICATED DIABETIC SUPPLIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-631-6394",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher George Davis, COTA
• Marcela De la Pava, OTR/L
• Joselyn Dealtan
• Debbie Menfi LMHC LLC
• Jozef M Debiec, MD
• Brianna Defrancesco-Perrone
• Michael Conrad Degen, M.D.
• Julia Delaney, PMHNP
• Lynda Deleon, L.P.N
• Dawna L. Dennis, PA-C

• Durable Medical Equipment & Medical Supplies in Tarrytown, NY
• Providers in Tarrytown, 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 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.