Active NPI
Ultramedical Supplies
- Durable Medical Equipment & Medical Supplies
- Fairport, NY
National Provider Identifier
1508942632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- ULTRAMEDICAL SUPPLIES
- Practice address
- 7374 Pittsford Palmyra Rd
Fairport, NY 14450-9599 - Phone
- (585) 598-2929
- Fax
- (585) 598-2920
- NPI assigned
- Oct 31, 2006
- 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
- Mr. Christopher Mariano
- Title
- President
- Phone
- (585) 598-2929
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
7374 Pittsford Palmyra Rd
Fairport, NY 14450-9599
Mailing address
7374 Pittsford Palmyra Rd
Fairport, NY 14450-9599
Phone (585) 598-2929
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PO170059UM | Other | NY | BLUE CROSS BLUE SHIELD |
| 7189627 | Other | NY | AETNA |
| 02621790 | Medicaid | NY | |
| 892281 | Other | NY | MVP HEALTHCARE |
| 135419GH | Other | NY | PREFERRED CARE |
National Provider Directory
National Provider Directory- Tax ID family
- Ultramed
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Rochester, NY
- NPI 1326027574
Locations
7374 Pittsford Palmyra Rd
Fairport, NY 14450
Phone (585) 421-8798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214438400000",
"number": "1508942632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7374 PITTSFORD PALMYRA RD",
"city": "FAIRPORT",
"state": "NY",
"postal_code": "144509599",
"telephone_number": "585-598-2929",
"fax_number": "585-598-2920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7374 PITTSFORD PALMYRA RD",
"city": "FAIRPORT",
"state": "NY",
"postal_code": "144509599",
"telephone_number": "585-598-2929",
"fax_number": "585-598-2920"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ULTRAMEDICAL SUPPLIES",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-31",
"last_updated": "2008-06-26",
"status": "A",
"authorized_official_last_name": "MARIANO",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "585-598-2929",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "PO170059UM",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7189627",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02621790",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP HEALTHCARE",
"identifier": "892281",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "135419GH",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.