Joseph Rezk

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

80586214 Issued in PA

Legal business name

JOSEPH REZK

Practice address

115 South Main Street
Carrolltown, PA 15722

Phone

(814) 344-8994

Fax

(814) 344-2093

NPI assigned

Sep 13, 2006

Organization subpart

Yes

Parent organization

PUNXSY MEDICAL SUPPLYAs reported in NPPES

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

Authorized official

Name

Mr. Joseph Rezk Sr.

Title

Owner

Phone

(814) 344-8994

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PUNXSY/REZK MEDICAL SUPPLY Doing business as

Part of

Punxsy Medical Supply

Locations

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461888000000",
    "number": "1043315419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 SOUTH MAIN STREET, PO BOX 520",
            "city": "CARROLLTOWN",
            "state": "PA",
            "postal_code": "157220520",
            "telephone_number": "814-344-8994",
            "fax_number": "814-344-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 SOUTH MAIN STREET",
            "city": "CARROLLTOWN",
            "state": "PA",
            "postal_code": "15722",
            "telephone_number": "814-344-8994",
            "fax_number": "814-344-2093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH REZK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PUNXSY MEDICAL SUPPLY",
        "enumeration_date": "2006-09-13",
        "last_updated": "2016-04-29",
        "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",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "80586214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007774640007",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PUNXSY/REZK MEDICAL SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Carrolltown, PA
• Providers in Carrolltown, PA by specialty
• Durable Medical Equipment & Medical Supplies in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; 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.