{"npi":"1437154010","type":"NPI-2","status":"active","name":{"display":"Med Star Surgical & Breathing Equipment Inc.","other":[],"organization_name":"MED STAR SURGICAL & BREATHING EQUIPMENT INC.","authorised_official":"Wendy Russalesi"},"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":"332BX2000X","description":"Oxygen Equipment & Supplies (DME)","primary":false,"state":null,"license":null},{"code":"332B00000X","description":"Durable Medical Equipment & Medical Supplies","primary":true,"state":"NY","license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1185 COMMERCE AVE","city":"BRONX","state":"NY","postal_code":"104625528","country_code":"US","phone":"7185121960"},{"purpose":"MAILING","street_1":"555 E NORTH LN STE 5075","city":"CONSHOHOCKEN","state":"PA","postal_code":"194282490","country_code":"US"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"421188000","state":"MD","issuer":null},{"type_code":"05","label":"Medicaid","value":"01428615","state":"NY","issuer":null},{"type_code":"05","label":"Medicaid","value":"7786107","state":"NJ","issuer":null},{"type_code":"05","label":"Medicaid","value":"0076819700002","state":"PA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20100930050446","type_code":"30-A6","type_desc":"DME SUPPLIER - MEDICAL SUPPLY COMPANY WITH RESPIRATORY THERAPIST","state":"NY","pac_id":"5698891323"}]},"enumeration_date":"2005-06-20","last_updated":"2025-12-18","_meta":{"source":"NPPES","snapshot_date":"2025-12-18","doc_url":"https://findmynpi.com/api"}}