Active NPI
Southern Cross Medical Products
- Durable Medical Equipment & Medical Supplies
- Rochester, NY
National Provider Identifier
1700984283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- SOUTHERN CROSS MEDICAL PRODUCTS
- Practice address
- 400 Red Creek Dr Ste 140
Rochester, NY 14623-4273 - Phone
- (585) 330-6015
- Fax
- (585) 334-6713
- NPI assigned
- Sep 20, 2006
- Last updated
- Apr 2, 2024
- 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
- Amy Grinnell Rose
- Title
- Owner/President
- Phone
- (585) 330-6015
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary |
Addresses
Primary practice location
400 Red Creek Dr Ste 140
Rochester, NY 14623-4273
Mailing address
400 Red Creek Dr Ste 140
Rochester, NY 14623-4273
Phone (585) 330-6015
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930060993 | NY | DME Supplier - Medical Supply Company With Orthotic Personnel | 2961619416 | Practice locations: Rochester, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Southern Cross Medical Products | Orthoses: Off-The-Shelf | Does not accept assignment |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba 828 Urgent Care
- Urgent Care Clinic/Center
- Oceanside, CA
- NPI 1164730404
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712016000000",
"number": "1700984283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 RED CREEK DR STE 140",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146234273",
"telephone_number": "585-330-6015",
"fax_number": "585-334-6713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 RED CREEK DR STE 140",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146234273",
"telephone_number": "585-330-6015",
"fax_number": "585-334-6713"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN CROSS MEDICAL PRODUCTS",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2024-04-02",
"certification_date": "2024-04-02",
"status": "A",
"authorized_official_last_name": "ROSE",
"authorized_official_first_name": "AMY",
"authorized_official_middle_name": "GRINNELL",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "585-330-6015"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
- Anthony J Sousou, MD
- Kristyn E Sousou, NP
- South Coast Rochester LLC
- Sandra Gail Southall, RN
- Southeast OB-GYN PC (Southeast Obstetrics & Gynecology PC)
- Southern Tier Cardiology PLLC
- Southside Medical Supply, LLC
- Southtown Vision Inc (Sterling Optical)
- Southview Physical Therapy and Sports Rehabilitation,PC
- Sinead Southwell
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.