NPIMap

Organization Active NPI

Health System Services LTD

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Victor, NY
National Provider Identifier
1932382082
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
Legal business name
HEALTH SYSTEM SERVICES LTD
Practice address
7620 Omnitech PL
Victor, NY 14564-9428
Phone
(716) 283-2339
Fax
(716) 283-1291
NPI assigned
Dec 12, 2007
Last updated
Jun 10, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
HEALTH SYSTEM SERVICES LTDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Authorized official

Name
Robert A Minicucci
Title
President
Phone
(716) 283-2339

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X NU Primary
Oxygen Equipment & Supplies (DME) 332BX2000X NU

Addresses

Primary practice location

7620 Omnitech PL
Victor, NY 14564-9428

Mailing address

6867 Williams Rd
Niagara Falls, NY 14304-3041
Phone (716) 283-2339

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://healthsys.net/

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930092142 NY DME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Orthotic PersonnelDME Supplier - Oxygen & Equipment 4789704867 Practice locations: Victor, NY

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Health System Services LTD5 organizations share this tax ID, including this one
Part of
Health System Services LTD

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7620 Omnitech Pl
Victor, NY 14564
Phone (585) 905-0583

NPI Registry JSON

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623283200000",
    "number": "1932382082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6867 WILLIAMS RD",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143043041",
            "telephone_number": "716-283-2339",
            "fax_number": "716-283-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7620 OMNITECH PL",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145649428",
            "telephone_number": "716-283-2339",
            "fax_number": "716-283-1291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH SYSTEM SERVICES LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTH SYSTEM SERVICES LTD",
        "enumeration_date": "2007-12-12",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A",
        "authorized_official_last_name": "MINICUCCI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-283-2339"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://healthsys.net/",
            "affiliation": "N",
            "address_1": "7620 Omnitech Pl",
            "city": "Victor",
            "state": "NY",
            "country_code": "US",
            "postal_code": "145649428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Victor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.