Active NPI
RLN Enterprises, Inc
- Durable Medical Equipment & Medical Supplies
- Rochester, NY
National Provider Identifier
1386028546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- RLN ENTERPRISES, INC
- Doing business as
- Eastside Medical Supply
- Practice address
- 2210 Monroe Ave
Rochester, NY 14618-2436 - Phone
- (585) 227-8750
- Fax
- (585) 227-8563
- NPI assigned
- Jul 16, 2015
- Organization subpart
- Yes
- Parent organization
- RLN ENTERPRISES INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ronald Loren Nettnin
- Title
- Vice President
- Phone
- (585) 227-8750
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NY | Primary |
Addresses
Primary practice location
2210 Monroe Ave
Rochester, NY 14618-2436
Mailing address
2210 Monroe Ave
Rochester, NY 14618-2436
Phone (585) 227-8750
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5083030001 | Medicaid | NY |
Other names 1
- Eastside Medical Supply
National Provider Directory
National Provider Directory- Tax ID family
- RLN Enterprises Inc
- Part of
- RLN Enterprises Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Rochester, NY
- NPI 1033212097
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Durable Medical Equipment & Medical Supplies
- Rochester, NY
- NPI 1033212097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437004800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1437004800000",
"number": "1386028546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2210 MONROE AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146182436",
"telephone_number": "585-227-8750",
"fax_number": "585-227-8563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2210 MONROE AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146182436",
"telephone_number": "585-227-8750",
"fax_number": "585-227-8563"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RLN ENTERPRISES, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RLN ENTERPRISES INC",
"enumeration_date": "2015-07-16",
"last_updated": "2015-07-16",
"status": "A",
"authorized_official_last_name": "NETTNIN",
"authorized_official_first_name": "RONALD",
"authorized_official_middle_name": "LOREN",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "585-227-8750",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5083030001",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Eastside Medical Supply",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.