Active NPI
Acricon Health LLC
- Durable Medical Equipment & Medical Supplies
- Newburgh, NY
National Provider Identifier
1730903303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- ACRICON HEALTH LLC
- Practice address
- 212 Broadway
Newburgh, NY 12550-6435 - Phone
- (347) 805-5276
- NPI assigned
- Nov 11, 2024
- Last updated
- Nov 11, 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
- Mrs. Edith Idima
- Title
- Ceo
- Phone
- (845) 670-7433
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
212 Broadway
Newburgh, NY 12550-6435
Mailing address
109 Emerson Ave
New Rochelle, NY 10801-5355
Phone (347) 805-5276
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250602002898 | NY | DME Supplier - Medical Supply Company | 8224547278 | Practice locations: Newburgh, NY |
National Provider Directory
National Provider Directory- Tax ID family
- Acricon Health LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Parenteral & Enteral Nutrition Supplies (DME)
- Newburgh, NY
- NPI 1275352775
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Registered Nurse
- Bronx, NY
- NPI 1427818608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731283200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731283200000",
"number": "1730903303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 EMERSON AVE",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108015355",
"telephone_number": "347-805-5276",
"fax_number": "845-670-7477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 BROADWAY",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125506435",
"telephone_number": "347-805-5276"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACRICON HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-11",
"last_updated": "2024-11-11",
"certification_date": "2024-11-11",
"status": "A",
"authorized_official_last_name": "IDIMA",
"authorized_official_first_name": "EDITH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "845-670-7433",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.