Active NPI
M S Tiger Incorporated
- Durable Medical Equipment & Medical Supplies
- Potsdam, NY
National Provider Identifier
1336238112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- M S TIGER INCORPORATED
- Doing business as
- DBA HARRIS MEDICAL
- Practice address
- 63 Market St
Potsdam, NY 13676-1870 - Phone
- (315) 265-0623
- Fax
- (315) 268-0750
- NPI assigned
- Oct 12, 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
- Mary S Foster
- Title
- President
- Phone
- (315) 265-0623
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
63 Market St
Potsdam, NY 13676-1870
Mailing address
63 Market St
P.O. Box 663
Potsdam, NY 13676-1779
Phone (315) 265-0623
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01406817 | Medicaid | NY |
Other names 1
- DBA HARRIS MEDICAL
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930016664 | NY | DME Supplier - Medical Supply Company | 8325250871 | Practice locations: Potsdam, NY |
National Provider Directory
National Provider DirectoryLocations
71 Market St
Potsdam, NY 13676
Phone (315) 265-0623
63 Market St
Potsdam, NY 13676
Phone (315) 265-0623
22 Depot St
Ste 45
Potsdam, NY 13676
Phone (315) 265-0623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1332288000000",
"number": "1336238112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 MARKET ST",
"address_2": "P.O. BOX 663",
"city": "POTSDAM",
"state": "NY",
"postal_code": "136761779",
"telephone_number": "315-265-0623",
"fax_number": "315-268-0750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63 MARKET ST",
"city": "POTSDAM",
"state": "NY",
"postal_code": "136761870",
"telephone_number": "315-265-0623",
"fax_number": "315-268-0750"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "M S TIGER INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-12",
"last_updated": "2012-03-21",
"status": "A",
"authorized_official_last_name": "FOSTER",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "315-265-0623"
},
"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": "01406817",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "DBA HARRIS MEDICAL",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Potsdam, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.