Active NPI
Med-Equip Healthcare, Inc.
- Durable Medical Equipment & Medical Supplies
- Needham, MA
National Provider Identifier
1366427981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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 DirectoryLocations
629 Highland Ave
Needham Heights, MA 02494
Phone (781) 444-1100
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1537385 | Medicaid | MA | |
| 376154 | Other | MA | BLUE 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.