Pediatric Medical Supply, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PEDIATRIC MEDICAL SUPPLY, INC.

Doing business as

NebDocs

Practice address

2511 Browncroft Blvd
Suite 101
Rochester, NY 14625-1513

Phone

(585) 381-3060

Fax

(585) 381-3064

NPI assigned

Apr 12, 2007

Last updated

Mar 4, 2013By 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. Peter R. Caines

Title

President

Phone

(585) 381-3060

Specialties & licenses 1

Addresses

Other names 1

• NebDocs Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362355200000",
    "number": "1396969978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 BROWNCROFT BLVD",
            "address_2": "SUITE 101",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146251513",
            "telephone_number": "585-381-3060",
            "fax_number": "585-381-3064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 BROWNCROFT BLVD",
            "address_2": "SUITE 101",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146251513",
            "telephone_number": "585-381-3060",
            "fax_number": "585-381-3064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2013-03-04",
        "status": "A",
        "authorized_official_last_name": "CAINES",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-381-3060",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NebDocs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pediatric Group Univ of Rochester
• Pediatric Group Univ of Rochester (Pediatric Palliative Care)
• Pediatric Group Univ of Rochester
• Pediatric Immun-Nephr-Rheumology
• Pediatric Infectious Diseases
• Pediatric Metabolism Endercrenology
• Pediatric Neonatal
• Pediatric Newborn Nursery
• Pediatric Physical Therapy Services, PLLC
• Pediatric Plastic Surgery of the University of Rochester

• 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 Mar 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.