NPIMap

Organization Active NPI

Ultra Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Harrisburg, PA
National Provider Identifier
1467852103
Registry record updated Aug 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1466586 Issued in NY
Legal business name
ULTRA MEDICAL SUPPLY
Practice address
7921 Grayson Rd
Harrisburg, PA 17111-5419
Phone
(718) 796-7555
Fax
(516) 566-2395
NPI assigned
Aug 31, 2014
Last updated
Aug 31, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2014

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

Authorized official

Name
Ezriel Ungar
Title
Controller
Phone
(718) 796-7555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1466586 NY Primary

Addresses

Primary practice location

7921 Grayson Rd
Harrisburg, PA 17111-5419

Mailing address

7921 Grayson Rd
Harrisburg, PA 17111-5419
Phone (718) 796-7555

Other identifiers 1

IdentifierTypeStateIssuer
1028914120001MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Ultra Medical Supply8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7921 Grayson Rd
Harrisburg, PA 17111

NPI Registry JSON

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

{
    "created_epoch": "1409443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409443200000",
    "number": "1467852103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7921 GRAYSON RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171115419",
            "telephone_number": "718-796-7555",
            "fax_number": "516-566-2395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7921 GRAYSON RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171115419",
            "telephone_number": "718-796-7555",
            "fax_number": "516-566-2395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRA MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-31",
        "last_updated": "2014-08-31",
        "status": "A",
        "authorized_official_last_name": "UNGAR",
        "authorized_official_first_name": "EZRIEL",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "718-796-7555"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "1466586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1028914120001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2014; 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.