NPIMap

Organization Active NPI

Med Star Surgical & Breathing Equipment, Inc.

Doing business as AdaptHealth NY

  • Oxygen Equipment & Supplies (DME)
  • Ronkonkoma, NY
National Provider Identifier
1639709538
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
MED STAR SURGICAL & BREATHING EQUIPMENT, INC.
Doing business as
AdaptHealth NY
Practice address
709 Hawkins Ave Ste 5
Ronkonkoma, NY 11779-2293
Phone
(631) 694-8787
Fax
(631) 694-3439
NPI assigned
Jan 19, 2020
Last updated
May 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Authorized official

Name
Wendy Russalesi
Title
Chief Compliance Officer
Phone
(484) 246-9499

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Oxygen Equipment & Supplies (DME) 332BX2000X NU Primary

Addresses

Primary practice location

709 Hawkins Ave Ste 5
Ronkonkoma, NY 11779-2293

Mailing address

555 E North LN Ste 5075
Conshohocken, PA 19428-2233
Phone (610) 630-6357

Other names 1

  • AdaptHealth NY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210514002053 NY DME Supplier - Oxygen & EquipmentDME Supplier - Medical Supply Company 5698891323 Practice locations: Ronkonkoma, NY

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
Medstar SRGL & Breathing Equip, Inc709 Hawkins Ave, Ronkonkoma, NY 11779-2293(631) 694-8787 Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Blood Glucose Monitors/Supplies (Non-Mail Order)|Gastric Suction Pumps|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Infrared Heating Pads Systems and/or Supplies|Negative Pressure Wound Therapy Pumps/Supp… Does not accept assignmentParticipating since Jan 1, 2004

National Provider Directory

National Provider Directory
Tax ID family
Medstar Surgical and10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

112 W 34th St
#18069
New York, NY 10120

709 Hawkins Ave
Ste 5
Ronkonkoma, NY 11779
Phone (631) 694-8787

NPI Registry JSON

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

{
    "created_epoch": "1579392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746403200000",
    "number": "1639709538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 E NORTH LN STE 5075",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194282233",
            "telephone_number": "610-630-6357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 HAWKINS AVE STE 5",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117792293",
            "telephone_number": "631-694-8787",
            "fax_number": "631-694-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED STAR SURGICAL & BREATHING EQUIPMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-19",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A",
        "authorized_official_last_name": "RUSSALESI",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "484-246-9499"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AdaptHealth NY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ronkonkoma, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; 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.