Organization Active NPI

Care100 Inc

  • Durable Medical Equipment & Medical Supplies
  • Spring Valley, NY
National Provider Identifier
1932718244
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CARE100 INC
Practice address
377 West Route 59
Spring Valley, NY 10977
Phone
(845) 393-1012
Fax
(855) 521-1338
NPI assigned
Jul 23, 2020
Last updated
Oct 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Authorized official

Name
Baruch Fisch
Title
Ceo
Phone
(631) 740-0007

Specialties & licenses 1

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

Addresses

Primary practice location

377 West Route 59
Spring Valley, NY 10977

Mailing address

377 West Route 59
Spring Valley, NY 10977
Phone (845) 393-1012

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200805000693 NY DME Supplier - Medical Supply Company 4385069566 Practice locations: Spring Valley, NY

National Provider Directory

National Provider Directory

Locations

2 Perlman Dr
Ste 311
Spring Valley, NY 10977
Phone (845) 393-1012

375 W Route 59
#391
Spring Valley, NY 10977
Phone 8453931012111

377 W Rte 59
Spring Valley, NY 10977
Phone (845) 393-1012

78 Lafayette Ave
Ste 105
Suffern, NY 10901

NPI Registry JSON

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697760000000",
    "number": "1932718244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 WEST ROUTE 59",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "10977",
            "telephone_number": "845-393-1012",
            "fax_number": "855-521-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 WEST ROUTE 59",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "10977",
            "telephone_number": "845-393-1012",
            "fax_number": "855-521-1338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE100 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-23",
        "last_updated": "2023-10-20",
        "certification_date": "2022-11-03",
        "status": "A",
        "authorized_official_last_name": "FISCH",
        "authorized_official_first_name": "BARUCH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "631-740-0007"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; 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.