Medstar Surgical & Breathing Equipment, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

008040350 Issued in CT

Legal business name

MEDSTAR SURGICAL & BREATHING EQUIPMENT, INC.

Practice address

125 Masarik Ave
Stratford, CT 06615-7250

Phone

(203) 377-5849

Fax

(203) 386-9689

NPI assigned

Nov 4, 2011

Organization subpart

No

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 1

Addresses

Other identifiers 1

Other names 1

• Genox Homecare Doing business as

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

{
    "created_epoch": "1320364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395705600000",
    "number": "1831476803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2170 UNION RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142241477",
            "telephone_number": "800-834-4311",
            "fax_number": "716-656-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 MASARIK AVE",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066157250",
            "telephone_number": "203-377-5849",
            "fax_number": "203-386-9689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTAR SURGICAL & BREATHING EQUIPMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-04",
        "last_updated": "2014-03-25",
        "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": "CT",
            "license": "008040350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008040350",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genox Homecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaelyn Mead, DC
• April Nicole Meadows, LMSW
• Med Now PC
• Med-Trans Corporation
• Medicarern, LLC
• Cynthia Ann Melendez, LCSW
• Barry C Melton, MD
• Peggy M Memoli, PHARMD.,R.PH.
• Debbie Mendez, ATR, LPC
• Maria Socci Mercado, LCSW

• Durable Medical Equipment & Medical Supplies in Stratford, CT
• Providers in Stratford, CT by specialty
• Durable Medical Equipment & Medical Supplies in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.