Organization Active NPI

Clevermed, LLC

  • Durable Medical Equipment & Medical Supplies
  • Hamburg, NY
National Provider Identifier
1487190674
Registry record updated Mar 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CLEVERMED, LLC
Practice address
4188 Lake Shore Rd
Hamburg, NY 14075-2044
Phone
(716) 844-1051
Fax
(888) 974-1108
NPI assigned
Jan 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2017

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

Authorized official

Name
Cory Downey
Title
Sole Member
Phone
(716) 844-1051

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

4188 Lake Shore Rd
Hamburg, NY 14075-2044

Mailing address

4188 Lake Shore Rd
Hamburg, NY 14075-2044
Phone (716) 844-1051

National Provider Directory

National Provider Directory

Locations

4188 Lake Shore Rd
Hamburg, NY 14075
Phone (716) 844-1051

NPI Registry JSON

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

{
    "created_epoch": "1484092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1487190674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4188 LAKE SHORE RD",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140752044",
            "telephone_number": "716-844-1051",
            "fax_number": "888-974-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4188 LAKE SHORE RD",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140752044",
            "telephone_number": "716-844-1051",
            "fax_number": "888-974-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVERMED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-11",
        "last_updated": "2017-03-29",
        "status": "A",
        "authorized_official_last_name": "DOWNEY",
        "authorized_official_first_name": "CORY",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "716-844-1051"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; 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.