Organization Active NPI

Nextgen Quickmed Corporation

  • Durable Medical Equipment & Medical Supplies
  • Albany, NY
National Provider Identifier
1790579290
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
NEXTGEN QUICKMED CORPORATION
Practice address
418 Broadway # 5189
Albany, NY 12207-2922
Phone
(315) 615-4754
Fax
(315) 615-4771
NPI assigned
Apr 8, 2025
Last updated
Apr 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Authorized official

Name
Rafael Antonio Virella Liriano
Title
Ceo
Phone
(315) 615-4754

Specialties & licenses 1

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

Addresses

Primary practice location

418 Broadway # 5189
Albany, NY 12207-2922

Mailing address

418 Broadway # 5189
Albany, NY 12207-2922
Phone (315) 615-4754

National Provider Directory

National Provider Directory

Locations

418 Broadway
#5189
Albany, NY 12207
Phone (315) 615-4754

NPI Registry JSON

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

{
    "created_epoch": "1744070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1790579290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 BROADWAY # 5189",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122072922",
            "telephone_number": "315-615-4754",
            "fax_number": "315-615-4771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 BROADWAY # 5189",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122072922",
            "telephone_number": "315-615-4754",
            "fax_number": "315-615-4771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXTGEN QUICKMED CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-08",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "VIRELLA LIRIANO",
        "authorized_official_first_name": "RAFAEL ANTONIO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "315-615-4754"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.