Organization Active NPI

Monroe Wheelchair Inc

  • Durable Medical Equipment & Medical Supplies
  • Syracuse, NY
National Provider Identifier
1316999568
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Oct 19, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
040401000140OtherFIDELIS CARE
000001796OtherBC/BS OF CENTRAL NEW YORK
888336OtherMVP
02632671MedicaidNY
64249OtherDMENSION BENEFIT MGMT
7183753OtherAETNA
9660309OtherGHI
000551000003OtherHEALTHNOW

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.