Gremlin Home Medical Equipment & Supplies, LLC

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

Legal business name

GREMLIN HOME MEDICAL EQUIPMENT & SUPPLIES, LLC

Practice address

15 Seneca Ave
State RT 5
Oneida, NY 13421-2555

Phone

(315) 363-1236

Fax

(315) 361-4884

NPI assigned

Feb 11, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Gary Gibbons

Title

Owner

Phone

(315) 794-2085

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1360540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360540800000",
    "number": "1942549902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SENECA AVE",
            "address_2": "STATE RT 5",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212555",
            "telephone_number": "315-363-1236",
            "fax_number": "315-361-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SENECA AVE",
            "address_2": "STATE RT 5",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212555",
            "telephone_number": "315-363-1236",
            "fax_number": "315-361-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREMLIN HOME MEDICAL EQUIPMENT & SUPPLIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-11",
        "last_updated": "2013-02-11",
        "status": "A",
        "authorized_official_last_name": "GIBBONS",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-794-2085",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celia Ilene Goodwin, RN
• Patricia Gorman, NP
• Thomas Michael Gorman III
• Bella Graber, MD
• Vicki Greene, FNP
• Gremlin Supply Corporation
• Julia Grippe
• Bonnie D Grossman, M.D.
• Jonathon A Gruneich, MD
• Kendra Hallman, LPN

• Parenteral & Enteral Nutrition Supplies (DME) in Oneida, NY
• Providers in Oneida, NY by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2013; 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.