Monroe Wheelchair Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MONROE WHEELCHAIR INC

Practice address

388 Old Niskayuna Rd
Latham, NY 12110-2212

Phone

(518) 783-1653

Fax

(518) 783-6305

NPI assigned

May 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Douglas Westerdahl

Title

President

Phone

(585) 385-3920

Specialties & licenses 1

Addresses

Other identifiers 11

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445212800000",
    "number": "1760434906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2165 BRIGHTON HENRIETTA TOWN LINE RD",
            "address_2": "SUITE 1",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146232755",
            "telephone_number": "585-385-3920",
            "fax_number": "585-385-6966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 OLD NISKAYUNA RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102212",
            "telephone_number": "518-783-1653",
            "fax_number": "518-783-6305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE WHEELCHAIR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2015-10-19",
        "status": "A",
        "authorized_official_last_name": "WESTERDAHL",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-385-3920",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00011191701",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "9660309",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNOW",
            "identifier": "000551000003",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS WNY",
            "identifier": "000551000003",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMENSION BENEFIT MGMT",
            "identifier": "25177",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP HEALTH PLAN",
            "identifier": "888335",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10049384-8085",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS FEDERAL",
            "identifier": "MB",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS CARE",
            "identifier": "040401000140",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02414744",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7183753",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mobile Imaging LTD.
• Racquel Marie Mochrie, FNP-BC
• Loren Moffitt
• Susan Lynn Mollard, NP
• Desiree Joyce Mollnow, FNP-BC
• Joseph Michael Monserrat, PSYD.
• Neeta Moonka, M.D.
• Taylor Suzanne Moore, FNP-C
• Jennifer Schwern Moran, CCC-SLP
• Kathleen Moran

• Durable Medical Equipment & Medical Supplies in Latham, NY
• Providers in Latham, 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 Oct 19, 2015; 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.