Med-Essentials LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0804471 Issued in CT

Legal business name

MED-ESSENTIALS LLC

Practice address

8 Wickett St
Unit CC
New Hartford, CT 06057

Phone

(888) 617-7392

NPI assigned

Mar 13, 2007

Last updated

Feb 4, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bruce Vanberkum

Title

President

Phone

(888) 617-7392

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296777600000",
    "number": "1649303645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 343",
            "city": "NEW HARTFORD",
            "state": "CT",
            "postal_code": "060570343",
            "telephone_number": "888-617-7392",
            "fax_number": "203-468-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 WICKETT ST",
            "address_2": "UNIT CC",
            "city": "NEW HARTFORD",
            "state": "CT",
            "postal_code": "06057",
            "telephone_number": "888-617-7392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-ESSENTIALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2011-02-04",
        "status": "A",
        "authorized_official_last_name": "VANBERKUM",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-617-7392"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CT",
            "license": "0804471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004251097",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Calli J Lefebvre, MS SLP-CCC
• Mark Levine, D.C.
• Jesse Mancinone, MS, L.P.C.
• Christine Sara Manzi, RPH
• Jazmyn McGovern
• New Hartford Board of Education
• New Hartford Dental
• New Hartford Volunteer Ambulance Association Inc
• North/Central Connecticut Services LLC (Home Health Mates)
• Desiree Paige

• Durable Medical Equipment & Medical Supplies in New Hartford, CT
• Providers in New Hartford, CT by specialty
• Durable Medical Equipment & Medical Supplies in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.