Organization Active NPI

Eric R Nisenson

  • Durable Medical Equipment & Medical Supplies
  • Manchester Center, VT
National Provider Identifier
1760649214
Registry record updated Jun 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0560000179 Issued in VT
Legal business name
ERIC R NISENSON
Practice address
7252 Main Street
Manchester Center, VT 05255
Phone
(802) 362-9959
NPI assigned
May 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2011

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

Authorized official

Name
Dr. Eric R Nisenson
Title
Sole Proprietor
Phone
(802) 362-9959

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0560000179 VT Primary

Addresses

Primary practice location

7252 Main Street
Manchester Center, VT 05255

Mailing address

PO Box 845
Manchester, VT 05254-0845
Phone (802) 362-9959

Other identifiers 1

IdentifierTypeStateIssuer
1012914OtherVTMEDICAID DME

National Provider Directory

National Provider Directory

Locations

7252 Main St
#845
Manchester Center, VT 05255
Phone (802) 362-9959

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308700800000",
    "number": "1760649214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845",
            "city": "MANCHESTER",
            "state": "VT",
            "postal_code": "052540845",
            "telephone_number": "802-362-9959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7252 MAIN STREET",
            "city": "MANCHESTER CENTER",
            "state": "VT",
            "postal_code": "05255",
            "telephone_number": "802-362-9959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC R NISENSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2011-06-22",
        "status": "A",
        "authorized_official_last_name": "NISENSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "802-362-9959",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VT",
            "license": "0560000179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "1012914",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester Center, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; 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.