Organization Active NPI

Medi-Fair Inc

  • Oxygen Equipment & Supplies (DME)
  • Monticello, NY
National Provider Identifier
1841281045
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
MEDI-FAIR INC
Doing business as
Medi-Fair Inc.
Practice address
25 Jefferson St
Monticello, NY 12701-1161
Phone
(845) 794-2323
Fax
(845) 794-0712
NPI assigned
Nov 4, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Authorized official

Name
Marilyn Gitlin
Title
Ceo
Phone
(845) 794-2323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

25 Jefferson St
Monticello, NY 12701-1161

Mailing address

25 Jefferson St
Monticello, NY 12701-1161
Phone (845) 794-2323

Other identifiers 2

IdentifierTypeStateIssuer
2151100OtherPK
01831947MedicaidNY

Other names 1

  • Medi-Fair Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930050471 NY DME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & EquipmentDME Supplier - Medical Supply Company With Orthotic-Prosthetic 2466579966 Practice locations: Monticello, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Medi-Fair Inc25 Jefferson St, Monticello, NY 12701-1161(845) 794-2323 Commodes, Urinals, Bedpans|Heat & Cold Applications|Hospital Beds (Electric)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Patient Lifts|Power Operated Vehicles (Scooters)|Seat Lift Mechanisms|Walkers|Whee… Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

670 Route 211 E
Ste 2
Middletown, NY 10941
Phone (845) 692-2100

75 Crystal Run Rd
Ste 30
Middletown, NY 10941
Phone (845) 692-2100

25 Jefferson St
Monticello, NY 12701
Phone (845) 794-2323

NPI Registry JSON

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1841281045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 JEFFERSON ST",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127011161",
            "telephone_number": "845-794-2323",
            "fax_number": "845-794-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 JEFFERSON ST",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127011161",
            "telephone_number": "845-794-2323",
            "fax_number": "845-794-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI-FAIR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-04",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "GITLIN",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "845-794-2323"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2151100",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01831947",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medi-Fair Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medi-Fair Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monticello, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.