ACTIVE MEDICAL DEVICES, INC. (NPI# 1053433342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053433342 |
| Entity Type | Organization |
| Organization Name | ACTIVE MEDICAL DEVICES, INC. |
| Practice Address |
18 Blanchard Ln Voorheesville NY 12186-4346 |
| Mailing Address |
Po Box 139 Voorheesville NY 12186-0139 |
| Practice Telephone | 5187653805 |
| Practice Fax Number | 5187653063 |
| Mailing Telephone | 5187653805 |
| Mailing Fax Number | 5187653063 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ROBERT CHARLES BLANCHARD JR. (PRESIDENT) |
| Authorized Official Telephone | 5187653805 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| X | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | ACTIVE MEDICAL DEVICES, INC. | 154 Sewall Ave., Winthrop, MA 02128 |
| Street Address |
18 BLANCHARD LN |
| City | VOORHEESVILLE |
| State | NY |
| Zip Code | 12186-4346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922351899 | Jessica Doerr | Local Education Agency (LEA) | 2025 Route 9w, Rcs High School, Ravena, NY 12186 | 2012-10-17 |
| 1962795245 | Thomas Lee Zane | Behavioral Analyst | 378 Rockhill Road, Voorheesville, NY 12186 | 2011-05-19 |
| 1689908378 | Steven L. Lysenko, Dmd Pllc | Dentist | 17 Maple Road, Voorheesville, NY 12186 | 2009-09-28 |
| 1881747368 | Wooden Nichols Inc | Pharmacist | 5 Maple Rd, Voorheesville, NY 12186 | 2007-01-19 |
| 1750731634 | Kristen L Geist | Dentist | 17 Maple Road, Voorheesville, NY 12186-0366 | 2016-06-21 |
| 1649712902 | Mariel Chu | Social Worker | 432 New Salem Rd, Voorheesville, NY 12186-4825 | 2016-11-17 |
| 1326073859 | Marcia J Kindlon | Nurse Practitioner | 680 New Salem Rd, Voorheesville, NY 12186-4833 | 2006-07-12 |
| 1396801973 | Micheal Allan Kieserman | Pediatrics | 680 New Salem Rd, Voorheesville, NY 12186-4833 | 2006-12-28 |
| 1699984286 | Dominic Joseph Sette-ducati | Psychiatry & Neurology | 129 Helderhill Rd, Suite C, Voorheesville, NY 12186-4911 | 2007-05-21 |
| 1659495588 | Susan D. Phillips | Psychologist | 12 Sumac Holw, Voorheesville, NY 12186-5130 | 2007-03-17 |
| Find all providers in zip 12186 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295889392 | Martins Foods of South Burlington LLC | Durable Medical Equipment & Medical Supplies | 5 Maple Rd, Voorheesville, NY 12186-9422 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871161 | Martor Case Management LLC | Durable Medical Equipment & Medical Supplies | 400 Jordan Rd, Troy, NY 12180-8378 | 2020-11-02 |
| 1639770258 | Orthowellness, Inc | Durable Medical Equipment & Medical Supplies | 771 Hempstead Tpke, Elmont, NY 11003-2439 | 2020-11-02 |
| 1992305809 | Heal It Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 266 Jericho Tpke Ste 111, Floral Park, NY 11001-2170 | 2020-10-29 |
| 1770182537 | Ortho-aid Inc | Durable Medical Equipment & Medical Supplies | 20526 Linden Blvd, Saint Albans, NY 11412-2926 | 2020-10-22 |
| 1376142257 | On Hand Medical Inc | Durable Medical Equipment & Medical Supplies | 740 Myrtle Ave, Brooklyn, NY 11205-3953 | 2020-10-21 |
| 1063011260 | Bella Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 52 S Stone Ave, Elmsford, NY 10523-3607 | 2020-10-20 |
| 1720687023 | 82nd Corner LLC | Durable Medical Equipment & Medical Supplies | 461 Columbus Ave, New York, NY 10024-5107 | 2020-10-19 |
| 1497353221 | Ozone Park Supply Inc | Durable Medical Equipment & Medical Supplies | 9718 101st Ave, Ozone Park, NY 11416-2561 | 2020-10-14 |
| 1710585559 | Quality Med Equp Inc | Durable Medical Equipment & Medical Supplies | 18742a Hillside Ave, Jamaica, NY 11432-3217 | 2020-10-14 |
| 1770181901 | Ave U Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 1306 Avenue U, Brooklyn, NY 11229-3306 | 2020-10-10 |
| Find all providers with the same taxonomy | ||||
| City | VOORHEESVILLE |
| Zip Code | 12186 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.