Organization Active NPI

Joseph Rezk

  • Durable Medical Equipment & Medical Supplies
  • Butler, PA
National Provider Identifier
1891866810
Registry record updated Feb 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
JOSEPH REZK
Doing business as
Rezk Medical Supply
Practice address
112 S Main St
Butler, PA 16001-5913
Phone
(724) 477-0030
NPI assigned
Nov 13, 2006
Organization subpart
Yes
Parent organization
JOSEPH REZKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 29, 2016

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

Authorized official

Name
Joseph Rezk
Title
Owner
Phone
(814) 344-8994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

112 S Main St
Butler, PA 16001-5913

Mailing address

115 South Main Street
P.O. Box 520
Carrolltown, PA 15722-0520
Phone (814) 344-8994

Other identifiers 1

IdentifierTypeStateIssuer
10077746400016MedicaidPA

Other names 1

  • Rezk Medical Supply Doing business as

National Provider Directory

National Provider Directory
Part of
Punxsy Medical Supply

Locations

112 S Main St
Butler, PA 16001
Phone (724) 477-0030

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456704000000",
    "number": "1891866810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 SOUTH MAIN STREET",
            "address_2": "P.O. BOX 520",
            "city": "CARROLLTOWN",
            "state": "PA",
            "postal_code": "157220520",
            "telephone_number": "814-344-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 S MAIN ST",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160015913",
            "telephone_number": "724-477-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH REZK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOSEPH REZK",
        "enumeration_date": "2006-11-13",
        "last_updated": "2016-02-29",
        "status": "A",
        "authorized_official_last_name": "REZK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-344-8994"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10077746400016",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rezk Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Butler, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; 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.