Active NPI
Health Complex Medical LLC
- Oxygen Equipment & Supplies (DME)
- Fairfield, CT
National Provider Identifier
1821768458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- Legal business name
- HEALTH COMPLEX MEDICAL LLC
- Practice address
- 501 Kings Hwy E Ste 102
Fairfield, CT 06825-4867 - Phone
- (860) 207-8610
- NPI assigned
- Sep 15, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wendy Russalesi
- Title
- Cco
- Phone
- (484) 246-9499
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | Primary |
Addresses
Primary practice location
501 Kings Hwy E Ste 102
Fairfield, CT 06825-4867
Mailing address
555 E North LN Ste 5075
Conshohocken, PA 19428-2490
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220914000601 | CT | DME Supplier - Medical Supply Company With Respiratory Therapist | 0941327829 | Practice locations: Fairfield, CT |
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Oxygen Equipment & Supplies (DME)
- Waterbury, CT
- NPI 1568465938
0941327829
-
- Oxygen Equipment & Supplies (DME)
- Wethersfield, CT
- NPI 1730859257
0941327829
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Health Complex Medical LLC | Tracheotomy Supplies|Continuous Positive Airway Pressure (CPAP) Devices|High Freq Chest Wall Oscillation Devices/Supplies|Intermittent Positive Pressure Breathing IPPB DEV|Intrapulmonary Percussive Ventilation Devices|Mechanical In-Exsufflation Devices|Nebulizer Equipment and/or Supplies|Oxygen Equ… | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Health Complex Pharmacy
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Oxygen Equipment & Supplies (DME)
- Danbury, CT
- NPI 1306518907
-
- Oxygen Equipment & Supplies (DME)
- Waterbury, CT
- NPI 1568465938
-
- Oxygen Equipment & Supplies (DME)
- Wethersfield, CT
- NPI 1730859257
-
- Oxygen Equipment & Supplies (DME)
- Torrington, CT
- NPI 1831869460
Locations
501 Kings Hwy E
Ste 102
Fairfield, CT 06825
Phone (860) 207-8610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631664000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769558400000",
"number": "1821768458",
"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": "194282490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 KINGS HWY E STE 102",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068254867",
"telephone_number": "860-207-8610"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTH COMPLEX MEDICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-15",
"last_updated": "2026-01-28",
"certification_date": "2026-01-28",
"status": "A",
"authorized_official_last_name": "RUSSALESI",
"authorized_official_first_name": "WENDY",
"authorized_official_title_or_position": "CCO",
"authorized_official_telephone_number": "484-246-9499"
},
"taxonomies": [
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; 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.