Gremlin Supply Corporation

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

Legal business name

GREMLIN SUPPLY CORPORATION

Doing business as

Gremlin Medical Supply

Practice address

15 Seneca Ave
Oneida, NY 13421-2555

Phone

(315) 363-1236

Fax

(315) 361-4884

NPI assigned

Jul 25, 2007

Last updated

Aug 28, 2012By 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

Mr. Gary D Gibbons

Title

Owner

Phone

(315) 794-2085

Specialties & licenses 3

Addresses

Other names 1

• Gremlin Medical Supply Doing business as

Locations

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1720278898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SENECA AVE",
            "address_2": "PO BOX 155",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212555",
            "telephone_number": "315-363-1236",
            "fax_number": "315-361-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SENECA AVE",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212555",
            "telephone_number": "315-363-1236",
            "fax_number": "315-361-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREMLIN SUPPLY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "GIBBONS",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-794-2085",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gremlin Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia Gorman, NP
• Thomas Michael Gorman III
• Bella Graber, MD
• Vicki Greene, FNP
• Gremlin Home Medical Equipment & Supplies, LLC
• Julia Grippe
• Bonnie D Grossman, M.D.
• Jonathon A Gruneich, MD
• Kendra Hallman, LPN
• Johan Hallstrom, M.S OT

• Parenteral & Enteral Nutrition Supplies (DME) in Oneida, NY
• Providers in Oneida, NY by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.