1. Home
  2. Directory
  3. New York
  4. Rochester
  5. Durable Medical Equipment Medical Supplies
  6. NPI Profile

SOUTHSIDE MEDICAL SUPPLY, LLC
NPI 1568413656
Durable Medical Equipment & Medical Supplies in Rochester, NY

Active since May 13, 2006
1900 S. CLINTON AVE. STE 320, ROCHESTER, NY 14618(585) 271-7141(585) 419-6163 Get Directions Write a Review

NPPES record last updated: November 25, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southside Medical Supply, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHSIDE MEDICAL SUPPLY, LLC (NPI 1568413656) is a healthcare organization registered as a durable medical equipment & medical supplies in Rochester, New York and active in the NPI registry since May 2006. The organization lists Kelly A Doles, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1568413656
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameSOUTHSIDE MEDICAL SUPPLY, LLC
Location Address1900 S. CLINTON AVE. STE 320Rochester, NY 14618-5719
Mailing Address1900 S. Clinton Ave Ste 320 Roch. Ny 14618Rochester, NY 14618-5719 · (585) 271-7141 · Fax (585) 419-6163
Phone(585) 271-7141
Fax(585) 419-6163
Organization SubpartNo
Authorized OfficialKelly A DolesBilling Manager · (585) 770-2281
Enumeration DateMay 13, 2006
Last NPPES UpdateNovember 25, 2014
✔ NPI 1568413656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
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.
Also ListedDurable Medical Equipment & Medical Supplies · Parenteral & Enteral NutritionTaxonomy 332BP3500X
Also ListedProsthetic/Orthotic SupplierTaxonomy 335E00000X
1900 S. CLINTON AVE. STE 320, Rochester, NY 14618
Open in Google Maps ↗

Other Identifiers 7

Medicare ID-Type UnspecifiedA08000362NY · Etin
Medicaid84VNY
Medicare ID-Type Unspecified5577220001NY · Provider Id
Other182719GDNY · Preferred Care
Other7273762NY · Aetna Health, Inc
Medicaid02742689NY
OtherP0170059SSNY · Excellus Blue Cross

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southside Medical Supply, LLC's NPI number?

The NPI number for Southside Medical Supply, LLC is 1568413656. It was assigned to this organization in the NPPES registry on May 13, 2006.

Where is Southside Medical Supply, LLC located?

Southside Medical Supply, LLC is located at 1900 S. Clinton Ave. Ste 320, Rochester, NY 14618. The listed phone number is (585) 271-7141.

What is Southside Medical Supply, LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Southside Medical Supply, LLC was last updated on November 25, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.