NPIMap

Organization Active NPI

Med Star Surgical & Breathing Equipment Inc

  • Durable Medical Equipment & Medical Supplies
  • Middletown, NY
National Provider Identifier
1902647555
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MED STAR SURGICAL & BREATHING EQUIPMENT INC
Practice address
75 Crystal Run Rd Ste 202
Middletown, NY 10941-7010
Phone
(845) 203-1260
NPI assigned
Jun 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

75 Crystal Run Rd Ste 202
Middletown, NY 10941-7010

Mailing address

555 E North LN Ste 5075
Conshohocken, PA 19428-2490

Other names 1

  • AdaptHealth NY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250506001734 NY DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 5698891323 Practice locations: Middletown, NY

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Med Star Surgical & Breathing Equip75 Crystal Run Rd, Middletown, NY 10941-7010(845) 203-1260 Continuous Positive Airway Pressure (CPAP) Devices|Oxygen Equipment and/or Supplies|Respiratory Assist Devices Does not accept assignmentParticipating since Jan 1, 2004

National Provider Directory

National Provider Directory
Tax ID family
Medstar Surgical and10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

425 Benton St
Stratford, CT 06615
Phone (203) 908-3570

82 Boston Post Rd
Waterford, CT 06385
Phone (860) 444-4965

382 Route 59
Ste 270
Airmont, NY 10952
Phone (845) 357-0838

NPI Registry JSON

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1902647555",
    "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": "75 CRYSTAL RUN RD STE 202",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109417010",
            "telephone_number": "845-203-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED STAR SURGICAL & BREATHING EQUIPMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-05",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "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": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AdaptHealth NY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AdaptHealth NY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Middletown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.