NPIMap

Organization Active NPI

Ultra Medical Supply, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Syracuse, NY
National Provider Identifier
1568883221
Registry record updated Feb 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1466586 Issued in NY
Legal business name
ULTRA MEDICAL SUPPLY, INC.
Practice address
404 N Midler Ave
Syracuse, NY 13206-1825
Phone
(718) 796-7555
NPI assigned
Dec 26, 2013
Last updated
Feb 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2014

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

Authorized official

Name
Mr. Simcha Hyman
Title
Owner
Phone
(718) 796-7555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1466586 NY Primary

Addresses

Primary practice location

404 N Midler Ave
Syracuse, NY 13206-1825

Mailing address

1685 E 21St St
Brooklyn, NY 11210-5065
Phone (718) 796-7555

Other identifiers 1

IdentifierTypeStateIssuer
01799059MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Ultra Medical Supply8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

404 N Midler Ave
Syracuse, NY 13206

NPI Registry JSON

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

{
    "created_epoch": "1388016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392249600000",
    "number": "1568883221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1685 E 21ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112105065",
            "telephone_number": "718-796-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 N MIDLER AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132061825",
            "telephone_number": "718-796-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRA MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-26",
        "last_updated": "2014-02-13",
        "status": "A",
        "authorized_official_last_name": "HYMAN",
        "authorized_official_first_name": "SIMCHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-796-7555",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "1466586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01799059",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; 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.