Organization Active NPI

Medeast Post-Op & Surgical, Inc.

  • Prosthetic/Orthotic Supplier
  • Bethlehem, PA
National Provider Identifier
1184053290
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
MEDEAST POST-OP & SURGICAL, INC.
Practice address
2591 Baglyos Cir
Suite C-43
Bethlehem, PA 18020-8043
Phone
(856) 829-2030
NPI assigned
Nov 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Authorized official

Name
John D Blaskovich
Title
President / Ceo
Phone
(609) 332-4703

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

2591 Baglyos Cir
Suite C-43
Bethlehem, PA 18020-8043

Mailing address

496 Kings Hwy N Ste 130
Cherry Hill, NJ 08034-1015

Other identifiers 1

IdentifierTypeStateIssuer
1022940370001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140113001513 PA DME Supplier - Medical Supply Company With Orthotic-Prosthetic 1254546914 Practice locations: Bethlehem, PA

Other NPIs with the same Medicare PAC ID 2

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

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Medeast Post-Op & Surgical, Inc.2591 Baglyos Cir, Bethlehem, PA 18020-8058(888) 629-2030 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Breast Prostheses and/or Accessories|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items Accepts assignmentParticipating since Jan 1, 2005

National Provider Directory

National Provider Directory
Tax ID family
Medeast Post-Op Surgical Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1200 Taylors Ln
Ste 325
Cinnaminson, NJ 08077
Phone (856) 829-2030

580 Meetinghouse Rd
Ambler, PA 19002
Phone (888) 629-2030

470 Norristown Rd
Ste 303
Blue Bell, PA 19422
Phone (267) 433-1070

NPI Registry JSON

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

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682553600000",
    "number": "1184053290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "496 KINGS HWY N STE 130",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2591 BAGLYOS CIR",
            "address_2": "SUITE C-43",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180208043",
            "telephone_number": "856-829-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEAST POST-OP & SURGICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-08",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A",
        "authorized_official_last_name": "BLASKOVICH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "609-332-4703"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022940370001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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.