{"npi":"1417998345","type":"NPI-2","status":"active","name":{"display":"B.W. Surgical Supply, Inc.","other":[],"organization_name":"B.W. SURGICAL SUPPLY, INC.","authorised_official":"Yan Feldblyum"},"specialty":{"primary_taxonomy":"332B00000X","primary_taxonomy_description":"Durable Medical Equipment & Medical Supplies","slug":"durable-medical-equipment-medical-supplies","schema_org_specialty":null,"all":[{"code":"335E00000X","description":"Prosthetic/Orthotic Supplier","primary":false,"state":null,"license":null},{"code":"332B00000X","description":"Durable Medical Equipment & Medical Supplies","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"10556 METROPOLITAN AVE","city":"KENSINGTON","state":"MD","postal_code":"208952606","country_code":"US","phone":"3019461888","fax":"3019464479"},{"purpose":"MAILING","street_1":"10556 METROPOLITAN AVE","city":"KENSINGTON","state":"MD","postal_code":"208952606","country_code":"US","phone":"3019461888","fax":"3019464479"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"950401000","state":"MD","issuer":null},{"type_code":"05","label":"Medicaid","value":"1417998345","state":"VA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20100930078571","type_code":"30-53","type_desc":"DME SUPPLIER - MEDICAL SUPPLY COMPANY WITH ORTHOTIC-PROSTHETIC","state":"MD","pac_id":"8820119514"}]},"enumeration_date":"2006-06-10","last_updated":"2025-05-03","_meta":{"source":"NPPES","snapshot_date":"2025-05-03","doc_url":"https://findmynpi.com/api"}}