Mass Surgical Supply, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MASS SURGICAL SUPPLY, LLC

Practice address

249 High St
Holyoke, MA 01040-6513

Phone

(413) 532-1401

Fax

(413) 532-1128

NPI assigned

Nov 17, 2005

Organization subpart

No

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

Authorized official

Name

Mr. David J Oconnor

Title

Managing Member

Phone

(413) 532-1401

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MA

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": "1132185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311033600000",
    "number": "1871575563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 HIGH ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010406513",
            "telephone_number": "413-532-1401",
            "fax_number": "413-532-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 HIGH ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010406513",
            "telephone_number": "413-532-1401",
            "fax_number": "413-532-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASS SURGICAL SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-17",
        "last_updated": "2011-07-19",
        "status": "A",
        "authorized_official_last_name": "OCONNOR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "413-532-1401",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC HEALTHNET",
            "identifier": "000000020453",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MA",
            "identifier": "0000167954",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NEW ENGLAND",
            "identifier": "32385",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maribel Genesis Martinez
• Natalie Martinez
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• Sandip T Maru, M.D.
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• Elena A Massa
• Massachusetts Em-1 Medical Services
• Massachusetts Oncology Services PC
• Massachusetts Oncology Services, PC
• Massachusetts Society for the Prevention of Cruelty to Children

• Durable Medical Equipment & Medical Supplies in Holyoke, MA
• Providers in Holyoke, MA by specialty
• Durable Medical Equipment & Medical Supplies in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; 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.