Organization Active NPI

Joseph Rezk

  • Durable Medical Equipment & Medical Supplies
  • Johnstown, PA
National Provider Identifier
1003976754
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
JOSEPH REZK
Practice address
322 Warren Street
Suite 140
Johnstown, PA 15905
Phone
(814) 254-1500
Fax
(814) 254-1600
NPI assigned
Dec 11, 2006
Organization subpart
Yes
Parent organization
JOSEPH REZKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 7, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joseph Rezk
Title
Owner
Phone
(814) 344-8994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

322 Warren Street
Suite 140
Johnstown, PA 15905

Mailing address

322 Warren Street
Suite 140
Johnstown, PA 15905
Phone (814) 254-1500

Other identifiers 1

IdentifierTypeStateIssuer
1007774640013MedicaidPA

Other names 1

  • Rezk Medical Supply Doing business as

National Provider Directory

National Provider Directory
Part of
Punxsy Medical Supply

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291680000000",
    "number": "1003976754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 WARREN STREET",
            "address_2": "SUITE 140",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "15905",
            "telephone_number": "814-254-1500",
            "fax_number": "814-254-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 WARREN STREET",
            "address_2": "SUITE 140",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "15905",
            "telephone_number": "814-254-1500",
            "fax_number": "814-254-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH REZK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOSEPH REZK",
        "enumeration_date": "2006-12-11",
        "last_updated": "2010-12-07",
        "status": "A",
        "authorized_official_last_name": "REZK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-344-8994"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007774640013",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rezk Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Johnstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.