Nissi Corp
NPI 1063680064 · Durable Medical Equipment & Medical Supplies · Rockford, IL
Nissi Corp is a Durable Medical Equipment & Medical Supplies organization in Rockford, IL (NPI 1063680064).
Provider details
- NPI number
- 1063680064
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Lawrence Buckman, President(815) 654-1900
- License
- 212000137 (IL)
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- The Good Feet Store
Registry dates
- Enumerated
- 2008-02-13
- Last updated
- 2008-06-09
Frequently asked questions
- What is Nissi Corp's NPI number?
- Nissi Corp's National Provider Identifier (NPI) is 1063680064, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Nissi Corp?
- Nissi Corp is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Nissi Corp located?
- Nissi Corp's practice location on file with NPPES is 5823 E Riverside Blvd, Rockford, IL 61114-4963.
- What is Nissi Corp's phone number?
- The practice phone number listed in the NPPES registry for Nissi Corp is (815) 654-1900.
- Who is the authorized official for Nissi Corp?
- The authorized official listed on Nissi Corp's NPPES record is Lawrence Buckman, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Nissi Corp's NPI active?
- Yes — Nissi Corp's NPI (1063680064) is active in the NPPES registry as of the last update on 2008-06-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.