Mars Medical Equipment & Supply, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

203000219 Issued in IL

Legal business name

MARS MEDICAL EQUIPMENT & SUPPLY, INC.

Practice address

333 W Maple St
Unit 2
New Lenox, IL 60451-1633

Phone

(708) 425-1550

Fax

(815) 462-9358

NPI assigned

Jun 21, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Paul J Marolda

Title

President

Phone

(708) 425-1550

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

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

Locations

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1730185257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W MAPLE ST",
            "address_2": "UNIT 2",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604511633",
            "telephone_number": "708-425-1550",
            "fax_number": "815-462-9358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W MAPLE ST",
            "address_2": "UNIT 2",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604511633",
            "telephone_number": "708-425-1550",
            "fax_number": "815-462-9358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARS MEDICAL EQUIPMENT & SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "MAROLDA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-425-1550",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "203000219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS NUMBER",
            "identifier": "21623109",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stamatina Mancini, MSN, RN, FNP-BC
• Kristyn Manning, RPH
• Kerry Ann Marcheschi, M.D.
• Sean Marino
• Cristina Rose Markham
• Kristen Yunker Mars, FNP-BC
• Husam Marsheh, M.D.
• Linda Jo Martin, LCSW
• Rosemarie Martin, MHS CCC, SLP/L-IL
• Melanie Ann Martineck

• Durable Medical Equipment & Medical Supplies in New Lenox, IL
• Providers in New Lenox, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.