Organization Active NPI

Supply Solutions a Division of Northeast Mobility Center

  • Durable Medical Equipment & Medical Supplies
  • Albany, NY
National Provider Identifier
1427227560
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SUPPLY SOLUTIONS A DIVISION OF NORTHEAST MOBILITY CENTER
Practice address
115 Everett Rd
Albany, NY 12205-1407
Phone
(518) 438-3646
Fax
(518) 453-0919
NPI assigned
Feb 22, 2008
Organization subpart
Yes
Parent organization
NORTHEAST MOBILITY CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
William Eckert
Title
President
Phone
(518) 438-3646

Specialties & licenses 1

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

Addresses

Primary practice location

115 Everett Rd
Albany, NY 12205-1407

Mailing address

115 Everett Rd
Albany, NY 12205-1407
Phone (518) 438-3646

Other identifiers 2

IdentifierTypeStateIssuer
02711975MedicaidNY
10062957OtherNYCDPHP

National Provider Directory

National Provider Directory
Tax ID family
Supply Solutions a Division of Northeast Mobility Center2 organizations share this tax ID, including this one
Part of
Supply Solutions a Division of Northeast Mobility Center

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": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1427227560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 EVERETT RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051407",
            "telephone_number": "518-438-3646",
            "fax_number": "518-453-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 EVERETT RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051407",
            "telephone_number": "518-438-3646",
            "fax_number": "518-453-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPLY SOLUTIONS A DIVISION OF NORTHEAST MOBILITY CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHEAST MOBILITY CENTER",
        "enumeration_date": "2008-02-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ECKERT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-438-3646"
    },
    "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": "02711975",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10062957",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.