Organization Active NPI

Mediprint LLC

  • Customized Equipment (DME)
  • Goshen, NY
National Provider Identifier
1477910925
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
MEDIPRINT LLC
Practice address
152 Main St
Goshen, NY 10924-2116
Phone
(845) 863-9557
NPI assigned
Jan 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2016

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

Authorized official

Name
Brent Chanin
Title
Founder & Chief Engineer
Phone
(845) 863-9557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

152 Main St
Goshen, NY 10924-2116

Mailing address

152 Main St
Goshen, NY 10924-2116
Phone (845) 863-9557

National Provider Directory

National Provider Directory

Locations

152 Main St
Goshen, NY 10924
Phone (845) 863-9557

NPI Registry JSON

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1477910925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 MAIN ST",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109242116",
            "telephone_number": "845-863-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 MAIN ST",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109242116",
            "telephone_number": "845-863-9557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIPRINT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-27",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "CHANIN",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "FOUNDER & CHIEF ENGINEER",
        "authorized_official_telephone_number": "845-863-9557"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; 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.