Organization Active NPI

Joseph Rezk

Doing business as Rezk Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Beaver, PA
National Provider Identifier
1487738621
Registry record updated Aug 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
JOSEPH REZK
Doing business as
Rezk Medical Supply
Practice address
1231 3Rd St
Beaver, PA 15009-2545
Phone
(724) 775-4292
NPI assigned
Oct 24, 2006
Last updated
Aug 13, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
JOSEPH REZKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 13, 2013

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

Authorized official

Name
Joseph Rezk
Title
Owner
Phone
(814) 344-8994

Specialties & licenses 1

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

Addresses

Primary practice location

1231 3Rd St
Beaver, PA 15009-2545

Mailing address

1231 3Rd Ave
Beaver, PA 15009-2545
Phone (724) 775-4292

Other identifiers 1

IdentifierTypeStateIssuer
1007774640017MedicaidPA

Other names 1

  • Rezk Medical Supply Doing business as

National Provider Directory

National Provider Directory
Part of
Punxsy Medical Supply

Locations

1231 3rd St
Beaver, PA 15009
Phone (724) 775-4292

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376352000000",
    "number": "1487738621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 3RD AVE",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092545",
            "telephone_number": "724-775-4292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 3RD ST",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092545",
            "telephone_number": "724-775-4292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH REZK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOSEPH REZK",
        "enumeration_date": "2006-10-24",
        "last_updated": "2013-08-13",
        "status": "A",
        "authorized_official_last_name": "REZK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-344-8994"
    },
    "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": "1007774640017",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rezk Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaver, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; 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.