Mobility Scooters of Madison LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

456-1027152998-03 Issued in WI

Legal business name

MOBILITY SCOOTERS OF MADISON LLC

Practice address

3411 Miller St
Madison, WI 53704-2527

Phone

(608) 228-9090

Fax

(608) 241-4628

NPI assigned

Oct 27, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Ronald John Grosso

Title

Member

Phone

(608) 228-9090

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288137600000",
    "number": "1912207754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 MILLER ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537042527",
            "telephone_number": "608-228-9090",
            "fax_number": "608-241-4628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 MILLER ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537042527",
            "telephone_number": "608-228-9090",
            "fax_number": "608-241-4628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILITY SCOOTERS OF MADISON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-27",
        "last_updated": "2010-10-27",
        "status": "A",
        "authorized_official_last_name": "GROSSO",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "608-228-9090",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "WI",
            "license": "456-1027152998-03",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MM Nutrition LLC
• MMCW LLC
• MMZ Transit LLC
• Joseph F Mnuk, MD
• Robin Gray Moag-May, SAC-IT
• Lacey Jennifer Mobley
• Stephanie Diane Mock, MSW
• Daniel Scott Modaff, M.D.
• Lori Ann Modaff, RN
• Margaret K Modaff

• All providers in Madison, WI
• Customized Equipment (DME) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; 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.