Provider Type Icon

ELITE MEDICAL SUPPLY NPI 1821076308


NPI Information

NPI: 1821076308
Provider Name: ELITE MEDICAL SUPPLY
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
1900 RIDGE RD
WEST SENECA, NY
ZIP 14224
Phone: (716) 712-0881
Get Directions

ELITE MEDICAL SUPPLY is a durable medical equipment medical supplies in West Seneca, NY. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. ELITE MEDICAL SUPPLY NPI is 1821076308. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1900 RIDGE RD
WEST SENECA, NY
ZIP 14224-332
Phone: (716) 712-0881
Fax: (716) 712-0882

The provider's authorized official is Gary Anthony Nikiel .
The authorized official title is Owner and has the following contact phone number (716) 712-0881.

The enumeration date for this NPI number is 1/5/2006 and was last updated on 9/27/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225000000XOrthotic FitterNo
2332B00000XDurable Medical Equipment & Medical SuppliesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14654380001MEDICARE ID-TYPE UNSPECIFIED
2000551490001OTHERBLUE CROSS BLUE SHIELD
38290875OTHERINDEPENDENT HEALTH
402752078MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.