Organization
MED STAR SURGICAL & BREATHING EQUIPMENT INC.
Active
Other names
AdaptHealth NY
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY RUSSALESI (CHIEF COMPLIANCE OFFICER)
(484) 246-9499
Entity
Organization
Contact information
Practice address
1185 COMMERCE AVE, BRONX, NY 10462-5528
(718) 512-1960
Mailing address
555 E NORTH LN STE 5075, CONSHOHOCKEN, PA 19428-2490
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NY
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0076819700002
—
PA
05
—
01428615
—
NY
05
—
421188000
—
MD
05
—
7786107
—
NJ
Enumeration date
06/20/2005
Last updated
12/18/2025
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