Organization Active NPI

Eva Ofcharsky

  • Prosthetic/Orthotic Supplier
  • Edwardsville, PA
National Provider Identifier
1396928339
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
EVA OFCHARSKY
Practice address
108 Gateway Shopping Ctr
Edwardsville, PA 18704-4403
Phone
(570) 288-6688
NPI assigned
Dec 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Eva OfcharskyNPI 1528095825
Title
Owner
Phone
(570) 288-6688

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

108 Gateway Shopping Ctr
Edwardsville, PA 18704-4403

Mailing address

108 Gateway Shopping Ctr
Edwardsville, PA 18704-4403
Phone (570) 288-6688

Other identifiers 3

IdentifierTypeStateIssuer
243975OtherPAHIGHMARK BLUE SHIELD
0017997680001MedicaidPA
814243OtherPAFIRST PRIORITY

Other names 1

  • That Special Woman Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930031708 PA DME Supplier - Medical Supply CompanyDME Supplier - Prosthetic Personnel 7517079288 Practice locations: Edwardsville, PA

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
That Special Woman108 Gateway Shopping Ctr, Edwardsville, PA 18704-4403(570) 288-6688 Breast Prostheses and/or Accessories|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Feb 11, 1999

National Provider Directory

National Provider Directory

Locations

108 Gateway Shopping Ctr
Kingston, PA 18704
Phone (570) 288-6688

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1396928339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 GATEWAY SHOPPING CTR",
            "city": "EDWARDSVILLE",
            "state": "PA",
            "postal_code": "187044403",
            "telephone_number": "570-288-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 GATEWAY SHOPPING CTR",
            "city": "EDWARDSVILLE",
            "state": "PA",
            "postal_code": "187044403",
            "telephone_number": "570-288-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVA OFCHARSKY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "OFCHARSKY",
        "authorized_official_first_name": "EVA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-288-6688",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "243975",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017997680001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY",
            "identifier": "814243",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "That Special Woman",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edwardsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.