Functional DME, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

FUNCTIONAL DME, LLC

Practice address

22 Kendrick Hill Rd
Saratoga Springs, NY 12866-6807

Phone

(212) 354-2020

NPI assigned

Nov 11, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Aatif Siddiqui

Title

Owner

Phone

(646) 823-4034

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1447200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447200000000",
    "number": "1487027553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 KENDRICK HILL RD",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128666807",
            "telephone_number": "212-354-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 KENDRICK HILL RD",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128666807",
            "telephone_number": "212-354-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL DME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-11",
        "last_updated": "2015-11-11",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "AATIF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-823-4034",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Frasier
• Fred I. Jacobs DPM
• Marissa Friedberg, LMHC
• Jeannene Fritz, ANP
• Sara Fryer, CSW
• FW of Saratoga Inc
• David M Gabay, DC
• Jonathan P Gainor, MD
• David I Garfinkel, OD
• Gabrielle M Garrett, RN

• Durable Medical Equipment & Medical Supplies in Saratoga Springs, NY
• Providers in Saratoga Springs, 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 Nov 11, 2015; 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.