Organization Active NPI

RLN Enterprises, Inc

  • Durable Medical Equipment & Medical Supplies
  • Rochester, NY
National Provider Identifier
1386028546
Registry record updated Jul 16, 2015
On this page

Key facts

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

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5083030001MedicaidNY

Other names 1

  • Eastside Medical Supply Doing business as

National Provider Directory

National Provider Directory
Tax ID family
RLN Enterprises Inc2 organizations share this tax ID, including this one
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.

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.

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.

Verify at the official NPI Registry.