Todd Stephen Williams, MEDICAL DEVICE SUPP

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Practice address

166 Herricks Rd
Mineola, NY 11501-2206

Phone

(516) 729-2601

NPI assigned

Sep 24, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588204800000",
    "number": "1609350719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 732",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117540732",
            "telephone_number": "516-729-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 HERRICKS RD",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115012206",
            "telephone_number": "516-729-2601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Ashley Loop",
            "address_purpose": "LOCATION",
            "city": "Fort Salonga",
            "state": "NY",
            "postal_code": "117681463",
            "country_code": "US",
            "telephone_number": "516-729-2601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TODD",
        "middle_name": "STEPHEN",
        "credential": "MEDICAL DEVICE SUPP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-24",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Ann Wiener, LMSW
• Leo Wiener, M.D.
• Jennifer Wilinski, PHYSICIAN ASSISTANT
• William S.Kasper, M.D., P.C.
• Caroline Williams, MD
• Willis Scripts RX Inc
• Williston Orthodontic PC (Williston Orthodontics)
• Diane Gail Wilson, NP
• Michaela Cecilia Winkeler, MD
• Cynthia Hope Winkler, P.A.

• Durable Medical Equipment & Medical Supplies in Mineola, NY
• Providers in Mineola, 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 Apr 30, 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.