Alden Medical Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ALDEN MEDICAL SUPPLY LLC

Doing business as

Alden Medical Supply

Practice address

13185 Broadway
Alden, NY 14004

Phone

(716) 937-1720

NPI assigned

Oct 3, 2005

Last updated

Dec 20, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Karen E Smith

Title

Owner

Phone

(716) 937-9308

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Alden Medical Supply Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355961600000",
    "number": "1275520538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13185 BROADWAY ST",
            "city": "ALDEN",
            "state": "NY",
            "postal_code": "140041203",
            "telephone_number": "716-937-1720",
            "fax_number": "716-937-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13185 BROADWAY",
            "city": "ALDEN",
            "state": "NY",
            "postal_code": "14004",
            "telephone_number": "716-937-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALDEN MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2012-12-20",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-937-9308",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02922618",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alden Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alden Central School District
• Alden Counseling & Wellness, LLC
• Alden Dental PLLC (East Town Dental)
• Alden Family Dentistry
• Alden Medical Group, PLLC
• Alden Mental Health Counseling Wellness, PLLC
• Alden Physical Therapy, PC
• Alternative Care Services of W.N.Y. Inc. (Alden's Sunshine Senior Center)
• Alternative Care Services of W.N.Y., Inc. (Alden's Meals on Wheels)
• Kimberly Fitzgibbon Baker, LMHC

• Durable Medical Equipment & Medical Supplies in Alden, NY
• Providers in Alden, 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 Dec 20, 2012; 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.