Organization Active NPI

Punxsy Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Ellwood City, PA
National Provider Identifier
1215011457
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PUNXSY MEDICAL SUPPLY
Practice address
208 5TH Street
Ellwood City, PA 16117-2306
Phone
(724) 752-7395
NPI assigned
Oct 24, 2006
Last updated
Oct 31, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
PUNXSY MEDICAL SUPPLYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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 NU Primary

Addresses

Primary practice location

208 5TH Street
Ellwood City, PA 16117-2306

Mailing address

208 5TH Street
Ellwood City, PA 16117-2306
Phone (724) 752-7395

Other identifiers 1

IdentifierTypeStateIssuer
1007774640018MedicaidPA

National Provider Directory

National Provider Directory
Part of
Joseph Rezk

Locations

208 5th St
Ellwood City, PA 16117
Phone (724) 752-7395

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1215011457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 5TH STREET",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "161172306",
            "telephone_number": "724-752-7395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 5TH STREET",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "161172306",
            "telephone_number": "724-752-7395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUNXSY MEDICAL SUPPLY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PUNXSY MEDICAL SUPPLY",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-10-31",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007774640018",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellwood City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.