Organization Active NPI

Medeast Post-Op & Surgical, Inc.

  • Prosthetic/Orthotic Supplier
  • Ambler, PA
National Provider Identifier
1336178987
Registry record updated Feb 23, 2021
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
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

Updated by the provider on Feb 23, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0199532MedicaidNJ
0002051000OtherPAINDEPENDENCE BLUE CROSS
1022940370001MedicaidPA
A08010870OtherPAMEDICARE EDI SUBMITTER #
001604998OtherPAHIGHMARK BLUE SHIELD
330022900OtherPAU.S. DEPT. OF LABOR/ACS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930023174 PA DME Supplier - Medical Supply Company With Orthotic PersonnelDME Supplier - Medical Supply Company With Orthotic-ProstheticDME Supplier - 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).

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.580 Meetinghouse Rd, Ambler, PA 19002-3923(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

NPI 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.

Verify at the official NPI Registry.