STARGATE MOBILITY (NPI# 1831134592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831134592 |
| Entity Type | Organization |
| Organization Name | STARGATE MOBILITY |
| Practice Address |
5688 Route 219 Brockport PA 15823-1818 |
| Practice Telephone | 8142650838 |
| Practice Fax Number | 8142652167 |
| Mailing Telephone | 8142650838 |
| Mailing Fax Number | 8142652167 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JEFFERIE A DODGE (OWNER) |
| Authorized Official Telephone | 8145982953 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144334715 | Stargate Mobility | Durable Medical Equipment & Medical Supplies | 500 S Sunset Ave, Roswell, NM 88203-2866 | 2006-08-19 |
| Street Address |
5688 ROUTE 219 |
| City | BROCKPORT |
| State | PA |
| Zip Code | 15823-1818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326451758 | Earl David Morgan | Emergency Medicine | 5439 Rt 153, Brockport, PA 15823 | 2014-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780299834 | Bebielyn A Sullivan | Licensed Practical Nurse | 736 East Ave, Brockport, NY 14420-1751 | 2020-09-14 |
| 1619590874 | Andrea Lynn Haefner | Registered Nurse | 7660 W Ridge Rd, Brockport, NY 14420-1723 | 2020-05-22 |
| 1598385437 | Traci Davis-taylor | Social Worker | 122 Viking Way, Brockport, NY 14420-2405 | 2020-04-21 |
| 1043846645 | Kourtney Reed | Social Worker | 63 Havenwood Dr, Brockport, NY 14420-1756 | 2020-03-16 |
| 1285270645 | Matthew A Privett | Registered Nurse | 281 Root Rd, Brockport, NY 14420-9730 | 2019-11-20 |
| 1083257380 | Melissa Siple | Licensed Practical Nurse | 8221 W Ridge Rd, Brockport, NY 14420-1429 | 2019-10-20 |
| 1871144543 | Brockport Vine Medical PC | Internal Medicine | 122 West Ave Ste 6, Brockport, NY 14420-1225 | 2019-09-24 |
| 1447808670 | Raleek Smith | Technician | 911 Wellington Woods Dr, Brockport, NY 14420-1551 | 2019-08-30 |
| 1093368474 | Nannette Ryan | Counselor | 310 Chadlee Dr, Brockport, NY 14420-9349 | 2019-07-24 |
| 1730748872 | Tiffany Kay Foreman Majtyka | Registered Nurse | 205 Hollybrook Rd, Brockport, NY 14420-2533 | 2019-06-12 |
| Find all providers in BROCKPORT | ||||
| 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 |
|---|---|---|---|---|
| 1306148317 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 6510 Brockport Spencerport Rd, Brockport, NY 14420-2630 | 2010-11-23 |
| 1114026374 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 6515 Brockport Spencerport Road, Brockport, NY 14420-2666 | 2006-09-22 |
| 1740399070 | Rite Aid of New York Inc | Durable Medical Equipment & Medical Supplies | 73 North Main Street, Big M Shopping Center, Brockport, NY 14420-1648 | 2006-08-30 |
| 1205853371 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 6265 Brockport Spencerport Rd, Brockport, NY 14420-2605 | 2006-07-16 |
| 1053835629 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 73 N Main St, Brockport, NY 14420-1648 | 2017-07-26 |
| 1093142036 | Your Medical Store,llc | Durable Medical Equipment & Medical Supplies | 34 West Ave, Brockport, NY 14420-1304 | 2013-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477066 | All American Sleep Alternatives LLC | Durable Medical Equipment & Medical Supplies | 7 N Morgantown St, Fairchance, PA 15436-1180 | 2020-11-03 |
| 1487254967 | Gvm-us Inc. | Durable Medical Equipment & Medical Supplies | 274 Milton Dr, Malvern, PA 19355-8760 | 2020-10-26 |
| 1043819287 | Flores Medical Supplies | Durable Medical Equipment & Medical Supplies | 465 Pike Rd Ste 113, Huntingdon Valley, PA 19006-1622 | 2020-10-19 |
| 1174121982 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 807 Lawn Ave Ste 104, Sellersville, PA 18960-1549 | 2020-10-14 |
| 1275131476 | Igor Pavlo | Durable Medical Equipment & Medical Supplies | 2399 S Whittmore St, Furlong, PA 18925-1549 | 2020-10-12 |
| 1306443502 | Ati Holding LLC | Durable Medical Equipment & Medical Supplies | 5038 Pennell Rd, Aston, PA 19014-1868 | 2020-10-01 |
| 1912511270 | Aspire Home Care Services LLC | Durable Medical Equipment & Medical Supplies | 295 Wyoming Ave Suite 2f, Wyoming, PA 18644-0274 | 2020-09-03 |
| 1710590534 | Restorative Medical Equipment and Supplies | Durable Medical Equipment & Medical Supplies | 1516 N 5th St Unit 327, Philadelphia, PA 19122-3679 | 2020-08-31 |
| 1982217253 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 245 W Race St Ste 115, Somerset, PA 15501-1922 | 2020-08-26 |
| 1609488485 | Rayaan Dhungel | Durable Medical Equipment & Medical Supplies | 814 Green Ridge St, Scranton, PA 18509-1908 | 2020-08-21 |
| Find all providers with the same taxonomy | ||||
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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.