Monroe Wheelchair of the Southern Tier Region

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MONROE WHEELCHAIR OF THE SOUTHERN TIER REGION

Practice address

217 Main St
Binghamton, NY 13905-2627

Phone

(607) 729-8244

Fax

(607) 729-8248

NPI assigned

May 18, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Douglas Westerdahl

Title

President

Phone

(585) 385-3920

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508819087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 MONROE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146184612",
            "telephone_number": "585-385-3920",
            "fax_number": "585-385-6966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 MAIN ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139052627",
            "telephone_number": "607-729-8244",
            "fax_number": "607-729-8248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE WHEELCHAIR OF THE SOUTHERN TIER REGION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WESTERDAHL",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-385-3920",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02441587",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matin Moghaddas, DO
• Radharani Mohanty, M.D
• Joanna Molloy, FNP-C, R.N.
• Brianna Jean Molyneux
• Mary Monopoli, R.N.
• Craig A Monroe, MD
• William K Monteith, MD
• Kristen Mooney, PT
• Becka L Moore, LMSW, MASTER CASAC
• Jasmyne Moore, LMSW

• Durable Medical Equipment & Medical Supplies in Binghamton, NY
• Providers in Binghamton, 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 Aug 22, 2020; 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.