Active NPI
Monroe Wheelchair Inc
- Durable Medical Equipment & Medical Supplies
- Syracuse, NY
National Provider Identifier
1316999568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MONROE WHEELCHAIR INC
- Practice address
- 6724 Thompson Rd
Syracuse, NY 13211-2183 - Phone
- (315) 445-2220
- Fax
- (315) 445-2059
- NPI assigned
- May 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Douglas Westerdahl
- Title
- President
- Phone
- (585) 385-3920
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
6724 Thompson Rd
Syracuse, NY 13211-2183
Mailing address
2165 Brighton Henrietta Town Line Rd
Suite 1
Rochester, NY 14623-2755
Phone (585) 385-3920
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040401000140 | Other | FIDELIS CARE | |
| 000001796 | Other | BC/BS OF CENTRAL NEW YORK | |
| 888336 | Other | MVP | |
| 02632671 | Medicaid | NY | |
| 64249 | Other | DMENSION BENEFIT MGMT | |
| 7183753 | Other | AETNA | |
| 9660309 | Other | GHI | |
| 000551000003 | Other | HEALTHNOW |
National Provider Directory
National Provider DirectoryLocations
2165 Brighton Henrietta Town Line Rd
Ste 1
Rochester, NY 14623
Phone (585) 385-3920
6724 Thompson Rd
Syracuse, NY 13211
Phone (315) 445-2220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1445212800000",
"number": "1316999568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2165 BRIGHTON HENRIETTA TOWN LINE RD",
"address_2": "SUITE 1",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146232755",
"telephone_number": "585-385-3920",
"fax_number": "585-385-6966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6724 THOMPSON RD",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132112183",
"telephone_number": "315-445-2220",
"fax_number": "315-445-2059"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONROE WHEELCHAIR INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-16",
"last_updated": "2015-10-19",
"status": "A",
"authorized_official_last_name": "WESTERDAHL",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "585-385-3920",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS CARE",
"identifier": "040401000140",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF CENTRAL NEW YORK",
"identifier": "000001796",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "888336",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02632671",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMENSION BENEFIT MGMT",
"identifier": "64249",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7183753",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "9660309",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNOW",
"identifier": "000551000003",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.