Organization Active NPI

Med-Equip Healthcare, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Needham, MA
National Provider Identifier
1366427981
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MED-EQUIP HEALTHCARE, INC.
Practice address
629 Highland Ave
Needham, MA 02494-2231
Phone
(781) 444-1100
Fax
(781) 444-3750
NPI assigned
Dec 7, 2005
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. David Jacobson
Title
President
Phone
(781) 444-1100

National Provider Directory

National Provider Directory

Locations

629 Highland Ave
Needham Heights, MA 02494
Phone (781) 444-1100

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

629 Highland Ave
Needham, MA 02494-2231

Mailing address

629 Highland Ave
Needham, MA 02494-2231
Phone (781) 444-1100

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
1537385MedicaidMA
376154OtherMABLUE CROSS BLUE SHIELD

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366427981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 HIGHLAND AVE",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024942231",
            "telephone_number": "781-444-1100",
            "fax_number": "781-444-3750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 HIGHLAND AVE",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024942231",
            "telephone_number": "781-444-1100",
            "fax_number": "781-444-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-EQUIP HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-444-1100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1537385",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "376154",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Needham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.