Active NPI
Clevermed, LLC
- Durable Medical Equipment & Medical Supplies
- Hamburg, NY
National Provider Identifier
1487190674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.