NPIMap

Organization Active NPI

Ultra Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Erie, PA
National Provider Identifier
1952701534
Registry record updated Sep 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1466586 Issued in NY
Legal business name
ULTRA MEDICAL SUPPLY
Practice address
2022 Filmore Ave
#26
Erie, PA 16506-2978
Phone
(718) 796-7555
Fax
(516) 566-2395
NPI assigned
Sep 2, 2014
Last updated
Sep 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2014

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

Authorized official

Name
Ezriel Ungar
Title
Controller
Phone
(718) 796-7555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1466586 NY Primary

Addresses

Primary practice location

2022 Filmore Ave
#26
Erie, PA 16506-2978

Mailing address

2022 Filmore Ave
#26
Erie, PA 16506-2978
Phone (718) 796-7555

Other identifiers 1

IdentifierTypeStateIssuer
1028914120001MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Ultra Medical Supply8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

2022 Filmore Ave
#26
Erie, PA 16506

NPI Registry JSON

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409616000000",
    "number": "1952701534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2022 FILMORE AVE",
            "address_2": "#26",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165062978",
            "telephone_number": "718-796-7555",
            "fax_number": "516-566-2395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2022 FILMORE AVE",
            "address_2": "#26",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165062978",
            "telephone_number": "718-796-7555",
            "fax_number": "516-566-2395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRA MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-02",
        "last_updated": "2014-09-02",
        "status": "A",
        "authorized_official_last_name": "UNGAR",
        "authorized_official_first_name": "EZRIEL",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "718-796-7555"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "1466586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1028914120001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; 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.