Stony Run Medical Corporation

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

STONY RUN MEDICAL CORPORATION

Practice address

487 Federal Rd Unit a-1
Brookfield, CT 06804-2043

Phone

(203) 240-4428

NPI assigned

Feb 27, 2018

Organization subpart

No

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

Authorized official

Name

Daniel Madigan

Title

Authorized Offical

Phone

(845) 302-7226

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608681600000",
    "number": "1225539018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "487 FEDERAL RD UNIT A-1",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042043",
            "telephone_number": "203-546-7153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "487 FEDERAL RD UNIT A-1",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042043",
            "telephone_number": "203-240-4428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONY RUN MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-27",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A",
        "authorized_official_last_name": "MADIGAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICAL",
        "authorized_official_telephone_number": "845-302-7226"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.