MED STAR SURGICAL & BREATHING EQUIPMENT, INC.; NPI #1134220205

Contact Information

MED STAR SURGICAL & BREATHING EQUIPMENT, INC.

1185 COMMERCE AVE
BRONX, NY 10462-5528

Phone: 718-512-1960
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Durable Medical Equipment & Medical Supplies	332B00000X	54	Other Medical Supply Company
Customized Equipment	332BC3200X	87	All Other Suppliers
Oxygen Equipment & Supplies	332BX2000X	B1	Oxygen supplier
Parenteral & Enteral Nutrition	332BP3500X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for MED STAR SURGICAL & BREATHING EQUIPMENT, INC.

NPI # 1134220205

LBN Legal business name MED STAR SURGICAL & BREATHING EQUIPMENT, INC.

Authorized official WENDY RUSSALESI - (CCO)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/25/2006

Last updated 10/15/2025 - About 8 months ago

Identifiers

Medicaid

02144503

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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