Medtech Enginuity Corp.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MEDTECH ENGINUITY CORP.

Doing business as

MedTEC

Practice address

12125 Guinevere PL
Glenn Dale, MD 20769-2203

Phone

(301) 352-0344

Fax

(301) 761-3302

NPI assigned

Nov 16, 2016

Organization subpart

No

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

Authorized official

Name

Robert L Bruce

Title

President Ceo

Phone

(301) 512-9899

Specialties & licenses 2

Addresses

Other names 1

• MedTEC Doing business as

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

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1457893794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12125 GUINEVERE PL",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207692203",
            "telephone_number": "301-352-0344",
            "fax_number": "301-761-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12125 GUINEVERE PL",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207692203",
            "telephone_number": "301-352-0344",
            "fax_number": "301-761-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDTECH ENGINUITY CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-16",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "BRUCE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "301-512-9899"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedTEC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Valery Mbanwi
• Thomas J McCarthy, PT
• Angela B McCormick, NP-BC
• Eleanor McGuire, PA-C
• Althea Caressa McMorris
• Elizabeth Mensah
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• Metropolitan Pediatric Ophthalmology LLC
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• Robert E Metzger Jr., DPT

• Durable Medical Equipment & Medical Supplies in Glenn Dale, MD
• Providers in Glenn Dale, MD by specialty
• Durable Medical Equipment & Medical Supplies in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.