Organization Active NPI

Medstar Surgical & Breathing Equipment, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Waterford, CT
National Provider Identifier
1659477107
Registry record updated Sep 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
MEDSTAR SURGICAL & BREATHING EQUIPMENT, INC.
Doing business as
Genox Homecare
Practice address
82 Boston Post Rd
Waterford, CT 06385-2425
Phone
(860) 444-4965
Fax
(860) 444-4969
NPI assigned
Sep 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2014

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

Authorized official

Name
Mrs. Loree Anderson, MA
Title
President
Phone
(855) 914-9140

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

82 Boston Post Rd
Waterford, CT 06385-2425

Mailing address

82 Boston Post Rd
Waterford, CT 06385-2425
Phone (860) 444-4965

Other identifiers 1

IdentifierTypeStateIssuer
004021267MedicaidCT

Other names 1

  • Genox Homecare Doing business as

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411516800000",
    "number": "1659477107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 BOSTON POST RD",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063852425",
            "telephone_number": "860-444-4965",
            "fax_number": "860-444-4969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 BOSTON POST RD",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063852425",
            "telephone_number": "860-444-4965",
            "fax_number": "860-444-4969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTAR SURGICAL & BREATHING EQUIPMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2014-09-24",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "LOREE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "855-914-9140",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004021267",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genox Homecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waterford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; 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.