Organization Active NPI

Anova Medical Supply, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Albany, NY
National Provider Identifier
1184650574
Registry record updated Apr 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ANOVA MEDICAL SUPPLY, INC.
Practice address
286 Washington Avenue Ext Ste 204
Albany, NY 12203-6303
Phone
(518) 283-0206
Fax
(518) 283-1628
NPI assigned
Jun 25, 2006
Last updated
Apr 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2023

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

Authorized official

Name
Olga Krupinski
Title
President
Phone
(518) 283-0206

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

286 Washington Avenue Ext Ste 204
Albany, NY 12203-6303

Mailing address

286 Washington Avenue Ext Ste 204
Albany, NY 12203-6303
Phone (518) 283-0206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930021816 NY DME Supplier - Medical Supply Company 7416151675 Practice locations: Albany, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Anova Medical Supply Inc286 Washington Avenue Ext, Albany, NY 12203-6303(518) 283-0206 Pneumatic Compression Devices and/or Supplies|Orthoses: Off-The-Shelf|Urological Supplies|Surgical Dressings|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Feb 26, 2007

National Provider Directory

National Provider Directory

Locations

286 Washington Avenue Ext
Ste 204
Albany, NY 12203
Phone (518) 283-0206

120 Defreest Dr
Troy, NY 12180
Phone (518) 390-6890

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681603200000",
    "number": "1184650574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 WASHINGTON AVENUE EXT STE 204",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122036303",
            "telephone_number": "518-283-0206",
            "fax_number": "518-283-1628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 WASHINGTON AVENUE EXT STE 204",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122036303",
            "telephone_number": "518-283-0206",
            "fax_number": "518-283-1628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANOVA MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2023-04-16",
        "certification_date": "2023-04-16",
        "status": "A",
        "authorized_official_last_name": "KRUPINSKI",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-283-0206"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.