Central New York Medical Products, Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

CENTRAL NEW YORK MEDICAL PRODUCTS, INC.

Doing business as

CNY Medical Products, Inc.

Practice address

749 W Genesee St
Syracuse, NY 13204-2305

Phone

(315) 428-9945

Fax

(315) 428-0737

NPI assigned

Jun 28, 2005

Organization subpart

Yes

Parent organization

CENTRAL NEW YORK MEDICAL PRODUCTS, INC.As reported in NPPES

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

Authorized official

Name

Mrs. Gwendolyn M. Komuda

Title

Vice President

Phone

(315) 428-9945

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CNY Medical Products, Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Part of

Central New York Medical Products Inc

Locations

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722556800000",
    "number": "1982600581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "749 W GENESEE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132042305",
            "telephone_number": "315-428-9945",
            "fax_number": "315-428-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "749 W GENESEE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132042305",
            "telephone_number": "315-428-9945",
            "fax_number": "315-428-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL NEW YORK MEDICAL PRODUCTS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL NEW YORK MEDICAL PRODUCTS, INC.",
        "enumeration_date": "2005-06-28",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A",
        "authorized_official_last_name": "KOMUDA",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "315-428-9945",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00847512",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CNY Medical Products, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Customized Equipment (DME) in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Customized Equipment (DME) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.