Northeast Mobility Center LTD

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

NORTHEAST MOBILITY CENTER LTD

Doing business as

Northeast Mobility Center, Ltd.

Practice address

115 Everett Rd
Albany, NY 12205-6417

Phone

(518) 438-3646

Fax

(518) 453-0919

NPI assigned

Aug 30, 2006

Last updated

Jan 3, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelsey Gordon

Title

Owner

Phone

(518) 339-2499

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Northeast Mobility Center, Ltd. Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Tax ID family

Northeast Mobility Center LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Supply Solutions a Division of Northeast Mobility Center

  • Durable Medical Equipment & Medical Supplies
  • Albany, NY
  • NPI 1427227560
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Supply Solutions a Division of Northeast Mobility Center

  • Durable Medical Equipment & Medical Supplies
  • Albany, NY
  • NPI 1427227560
  NPPES parent name

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672704000000",
    "number": "1962512723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 EVERETT RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122056417",
            "telephone_number": "518-438-3646",
            "fax_number": "518-453-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 EVERETT RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122056417",
            "telephone_number": "518-438-3646",
            "fax_number": "518-453-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST MOBILITY CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-339-2499"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5803982",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northeast Mobility Center, Ltd.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northeast Mobility Center, Ltd.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Albany, NY
• Providers in Albany, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.