BALLSTON MEDICAL SUPPLY, LLC (NPI# 1396064374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396064374 |
| Entity Type | Organization |
| Organization Name | BALLSTON MEDICAL SUPPLY, LLC |
| Practice Address |
76 Greenfield Ave Ballston Spa NY 12020-2423 |
| Practice Telephone | 5183898154 |
| Enumeration Date | 2010-05-30 |
| Last Update Date | 2010-10-12 |
| Authorized Official Name | DR. ROBERT BLOCK (PRESIDENT) |
| Authorized Official Telephone | 5183898154 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
76 GREENFIELD AVE |
| City | BALLSTON SPA |
| State | NY |
| Zip Code | 12020-2423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447301049 | Robert Michael Block | Chiropractor | 76 Greenfield Ave, Ballston Spa, NY 12020-2423 | 2007-01-12 |
| 1134429434 | Ballston Chiropractic Office, PC | Chiropractor | 76 Greenfield Ave, Ballston Spa, NY 12020-2423 | 2010-11-02 |
| 1649321241 | Eileen Elaine Walsh | Chiropractor | 76 Greenfield Ave, Ballston Spa, NY 12020-2423 | 2007-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811529415 | Peter Joseph Valastro Jr. | Registered Nurse | 2452 Us Rt 9 Suite 206, Malta, NY 12020 | 2020-02-11 |
| 1083257224 | Martins Foods of South Burlington LLC | Durable Medical Equipment & Medical Supplies | 3 Via Rossi Way, Ballston Spa, NY 12020 | 2019-10-21 |
| 1528542255 | Mary Szacik | Social Worker | 2452 Us Rt. 9, Suite 206, Malta, NY 12020 | 2018-09-19 |
| 1669966867 | Adam Smatko | Social Worker | 2452 Us Route 9, Suite 206, Malta, NY 12020 | 2018-06-20 |
| 1538665104 | Tressa Frese | Counselor | 35 Bath Street, Ballston Spa, NY 12020 | 2018-04-03 |
| 1902312556 | Maltavista Optometry, Pllc | Optometrist | 2715 Rt 9, Suite 204, Malta, NY 12020 | 2017-12-19 |
| 1497207294 | Julie Lapham | Counselor | 100 Saratoga Village Blvd. Suite 26, Malta, NY 12020 | 2016-10-27 |
| 1932656527 | Matthew Kattell | Physical Therapist | 4102 Ellsworth Boulevard, Malta, NY 12020 | 2016-09-01 |
| 1295134740 | Nnenna Lindsay | Psychologist | 15 Trieble Avenue, Suite 5 Pmb 1013, Ballston Spa, NY 12020 | 2014-08-21 |
| 1023425956 | Jessica Duell | Registered Nurse | 603 Sweetman Road, Ballston Spa, NY 12020 | 2014-07-11 |
| Find all providers in zip 12020 | ||||
| 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 |
|---|---|---|---|---|
| 1083257224 | Martins Foods of South Burlington LLC | Durable Medical Equipment & Medical Supplies | 3 Via Rossi Way, Ballston Spa, NY 12020 | 2019-10-21 |
| 1154621712 | Empire State Wheelchair Inc. | Durable Medical Equipment & Medical Supplies | 258 Milton Ave, Ballston Spa, NY 12020-1440 | 2010-10-29 |
| 1043328420 | Martins Foods of South Burlington LLC | Durable Medical Equipment & Medical Supplies | 11 Trieble Ave, Ballston Spa, NY 12020-6010 | 2006-08-27 |
| 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 | BALLSTON SPA |
| Zip Code | 12020 |
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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.