Organization Active NPI

Joseph Rezk

Doing business as Rezk Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Monessen, PA
National Provider Identifier
1235240953
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
80586214 Issued in PA
Legal business name
JOSEPH REZK
Doing business as
Rezk Medical Supply
Practice address
1295 Grand Blvd
Monessen, PA 15062-1955
Phone
(724) 361-3070
Fax
(724) 361-3071
NPI assigned
Aug 31, 2006
Last updated
Apr 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2016

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) 344-8944

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 80586214 PA Primary

Addresses

Primary practice location

1295 Grand Blvd
Monessen, PA 15062-1955

Mailing address

1295 Grand Blvd
Suite 105
Monessen, PA 15062-1955
Phone (724) 361-3070

Other identifiers 1

IdentifierTypeStateIssuer
1007774640001MedicaidPA

Other names 1

  • REZK MEDICAL SUPPLY Doing business as

National Provider Directory

National Provider Directory

Locations

1295 Grand Blvd
Ste 105
Monessen, PA 15062
Phone (724) 361-3070

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460505600000",
    "number": "1235240953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 GRAND BLVD",
            "address_2": "SUITE 105",
            "city": "MONESSEN",
            "state": "PA",
            "postal_code": "150621955",
            "telephone_number": "724-361-3070",
            "fax_number": "724-361-3071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 GRAND BLVD",
            "city": "MONESSEN",
            "state": "PA",
            "postal_code": "150621955",
            "telephone_number": "724-361-3070",
            "fax_number": "724-361-3071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH REZK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2016-04-13",
        "status": "A",
        "authorized_official_last_name": "REZK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-344-8944",
        "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": "1007774640001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REZK MEDICAL SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monessen, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.