Active NPI
Medeast Post-Op & Surgical, Inc.
- Prosthetic/Orthotic Supplier
- Ambler, PA
National Provider Identifier
1336178987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- MEDEAST POST-OP & SURGICAL, INC.
- Practice address
- 580 Meetinghouse Rd
Ambler, PA 19002-3923 - Phone
- (888) 629-2030
- Fax
- (267) 299-9001
- NPI assigned
- Jul 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Allison Kimura
- Title
- Orthotist
- Phone
- (267) 433-1073
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 3000007808 | PA | |
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
580 Meetinghouse Rd
Ambler, PA 19002-3923
Mailing address
580 Meetinghouse Rd
Ambler, PA 19002-3923
Phone (888) 629-2030
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0199532 | Medicaid | NJ | |
| 0002051000 | Other | PA | INDEPENDENCE BLUE CROSS |
| 1022940370001 | Medicaid | PA | |
| A08010870 | Other | PA | MEDICARE EDI SUBMITTER # |
| 001604998 | Other | PA | HIGHMARK BLUE SHIELD |
| 330022900 | Other | PA | U.S. DEPT. OF LABOR/ACS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930023174 | PA | DME Supplier - Medical Supply Company With Orthotic Personnel | 1254546914 | Practice locations: Ambler, PA |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Prosthetic/Orthotic Supplier
- Bethlehem, PA
- NPI 1184053290
1254546914
-
- Prosthetic/Orthotic Supplier
- Cherry Hill, NJ
- NPI 1588989255
1254546914
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Medeast Post-Op & Surgical, Inc. | 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 assignment |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614038400000",
"number": "1336178987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "580 MEETINGHOUSE RD",
"city": "AMBLER",
"state": "PA",
"postal_code": "190023923",
"telephone_number": "888-629-2030",
"fax_number": "267-299-9001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 MEETINGHOUSE RD",
"city": "AMBLER",
"state": "PA",
"postal_code": "190023923",
"telephone_number": "888-629-2030",
"fax_number": "267-299-9001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDEAST POST-OP & SURGICAL, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-03",
"last_updated": "2021-02-23",
"certification_date": "2021-02-23",
"status": "A",
"authorized_official_last_name": "KIMURA",
"authorized_official_first_name": "ALLISON",
"authorized_official_title_or_position": "ORTHOTIST",
"authorized_official_telephone_number": "267-433-1073",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "PA",
"license": "3000007808",
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0199532",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BLUE CROSS",
"identifier": "0002051000",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1022940370001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE EDI SUBMITTER #",
"identifier": "A08010870",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "001604998",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "U.S. DEPT. OF LABOR/ACS",
"identifier": "330022900",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ambler, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.