Jon Agricola

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Practice address

2202 Genesee St
Utica, NY 13502-5809

Phone

(315) 374-1338

NPI assigned

Apr 18, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1447747100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025809",
            "telephone_number": "315-374-1338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "83 Genesee St",
            "address_purpose": "LOCATION",
            "city": "New Hartford",
            "state": "NY",
            "postal_code": "134132472",
            "country_code": "US",
            "telephone_number": "315-374-1338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGRICOLA",
        "first_name": "JON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-18",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Device Access Management, LLC
• Advanced Physical Medicine & Rehabilitation LLC
• Advanced Physical Medicine & Rehabilitation LLC
• Barbara Agans-Sweeney, PA
• Bajrang L Agarwal, MD
• Sana Ahmad Din, MD
• Dijana Ahmetasevic, FNP
• Douglas Ahn, M.D.
• Waqar Ahsan, DO
• Nasreen Akhtar, MD

• All providers in Utica, NY
• 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 Oct 15, 2018; 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.