Organization Active NPI

Ballston Medical Supply, LLC

  • Durable Medical Equipment & Medical Supplies
  • Ballston Spa, NY
National Provider Identifier
1396064374
Registry record updated Oct 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BALLSTON MEDICAL SUPPLY, LLC
Practice address
76 Greenfield Ave
Ballston Spa, NY 12020-2423
Phone
(518) 389-8154
NPI assigned
May 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Robert Block, DCNPI 1447301049
Title
President
Phone
(518) 389-8154

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

76 Greenfield Ave
Ballston Spa, NY 12020-2423

Mailing address

76 Greenfield Ave
Ballston Spa, NY 12020-2423

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1275177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286841600000",
    "number": "1396064374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 GREENFIELD AVE",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120202423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 GREENFIELD AVE",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120202423",
            "telephone_number": "518-389-8154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALLSTON MEDICAL SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-30",
        "last_updated": "2010-10-12",
        "status": "A",
        "authorized_official_last_name": "BLOCK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-389-8154",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ballston Spa, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2010; 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.