Americoast Maryland LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

R2267 Issued in MD

Legal business name

AMERICOAST MARYLAND LLC

Practice address

1310 Innovation St Ste H-L
Middle River, MD 21220-2179

Phone

(410) 202-2784

Fax

(410) 918-0633

NPI assigned

Aug 16, 2006

Last updated

Dec 12, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wendy Russalesi

Title

Cco

Phone

(484) 246-9499

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Americoast Maryland LLC

  • Oxygen Equipment & Supplies (DME)
  • Lorton, VA
  • NPI 1942308754

  9436369360

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Americoast Maryland LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Americoast Maryland LLC

  • Durable Medical Equipment & Medical Supplies
  • Ashburn, VA
  • NPI 1679348270
  NPD tax ID
• Americoast Maryland LLC

  • Oxygen Equipment & Supplies (DME)
  • Lorton, VA
  • NPI 1942308754
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Tricounty Medical Equipment and Supply, LLC

  dba Youngs Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Williamsport, PA
  • NPI 1205215209

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1154434819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 E NORTH LN STE 5075",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194282490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 INNOVATION ST STE H-L",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212202179",
            "telephone_number": "410-202-2784",
            "fax_number": "410-918-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICOAST MARYLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A",
        "authorized_official_last_name": "RUSSALESI",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "CCO",
        "authorized_official_telephone_number": "484-246-9499"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "MD",
            "license": "R2267",
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "MD",
            "license": "D01734",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oxygen Equipment & Supplies (DME) in Middle River, MD
• Providers in Middle River, MD by specialty
• Oxygen Equipment & Supplies (DME) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.