Ultramedical Supplies LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ULTRAMEDICAL SUPPLIES LLC

Doing business as

Ultramed

Practice address

1465 Jefferson Rd
Rochester, NY 14623-3149

Phone

(585) 473-3040

Fax

(585) 473-3045

NPI assigned

Jan 15, 2006

Last updated

Aug 22, 2020By 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

Mr. Steve Gangarossa

Title

Vice President/General Manager

Phone

(585) 473-3040

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ULTRAMED Doing business as

Tax ID family

Ultramed2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ultramedical Supplies

  • Durable Medical Equipment & Medical Supplies
  • Fairport, NY
  • NPI 1508942632
  NPD tax ID

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

{
    "created_epoch": "1137283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326027574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 JEFFERSON RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146233149",
            "telephone_number": "585-473-3040",
            "fax_number": "585-473-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 JEFFERSON RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146233149",
            "telephone_number": "585-473-3040",
            "fax_number": "585-473-3045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRAMEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GANGAROSSA",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "VICE PRESIDENT/GENERAL MANAGER",
        "authorized_official_telephone_number": "585-473-3040",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02621790",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ULTRAMED",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Veronica Ulici, MD
• Asad Ullah, MD
• Nicholas Ullman, MD
• Corinne Ulrich, MS, MPH
• Tracey Ulterino
• Ultramobile Imaging Inc
• Ultramobile Imaging Inc.
• Ultramobile Imaging, Inc.
• Jonathan Umansky
• Kelly Marie Umansky, LMSW

• Durable Medical Equipment & Medical Supplies in Rochester, NY
• Providers in Rochester, 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 Aug 22, 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.