MAIN SURGICAL CO (NPI# 1558379412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558379412 |
| Entity Type | Organization |
| Organization Name | MAIN SURGICAL CO |
| Practice Address |
84 Broadway Newark NJ 07104 |
| Mailing Address |
Po Box 1620 Livingston NJ 07039-7220 |
| Practice Telephone | 9734828787 |
| Practice Fax Number | 9734844004 |
| Mailing Telephone | 9734828787 |
| Mailing Fax Number | 9734844004 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2014-05-27 |
| Authorized Official Name | NELLY BAKSHIYEV (MANAGER/OWNER) |
| Authorized Official Telephone | 9734828787 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | NJ | Allopathic & Osteopathic Physicians | |
| N | 224P00000X | Prosthetist | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | NJ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0385468 | 05 |
| Street Address |
84 BROADWAY |
| City | NEWARK |
| State | NJ |
| Zip Code | 07104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538790563 | North Ward Medical Arts LLC | Internal Medicine | 485-491 Mt Prospect Ave, Newark, NJ 07104 | 2020-01-29 |
| 1386149011 | Community Options Enterprises, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 504-506 Mount Prospect Ave, Newark, NJ 07104 | 2018-03-26 |
| 1710406293 | Bmrr Corporation | Durable Medical Equipment & Medical Supplies | 664 Mt Prospect Ave, Newark, NJ 07104 | 2017-09-15 |
| 1508390287 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 387 Ridge Street, Newark, NJ 07104 | 2017-04-19 |
| 1104280890 | North Essex Pediatrics Inc | Clinic/Center | 644 Mt Prospect Ave, Suite1, Newak, NJ 07104 | 2016-04-08 |
| 1306257076 | Sonia Martinez | Technician/Technologist | 677 Mount Prospect Avenue, Newark, NJ 07104 | 2014-05-15 |
| 1891022612 | Sofia Berkovich | Internal Medicine | 717-727 Broadway, Newark, NJ 07104 | 2009-11-16 |
| 1538302138 | Bellazmin Natalie Taylor | Physician Assistant | 354 Doremus Avenue, Newark, NJ 07104 | 2009-04-13 |
| 1740483502 | Clear Vision Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 677 Mt Prospect Avenue, Newark, NJ 07104 | 2007-06-08 |
| 1083815146 | Rafael A Hernandez | Pharmacist | 794 Mt. Prospect Ave., Newark, NJ 07104 | 2007-05-29 |
| Find all providers in zip 07104 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962035295 | Professional Technicians Incorporated | Durable Medical Equipment & Medical Supplies | 100 Biddle Ave Ste 200, Newark, DE 19702-3983 | 2020-02-14 |
| 1093363335 | North American Spine & Pain Consultants LLC Naspac | Durable Medical Equipment & Medical Supplies | 2600 Glasgow Ave Ste 126, Newark, DE 19702-4777 | 2019-08-29 |
| 1871074278 | Center for Interventional Pain & Spine, LLC | Durable Medical Equipment & Medical Supplies | 4701 Ogletown Stanton Rd Ste 1200, Newark, DE 19713-2079 | 2018-08-23 |
| 1710406293 | Bmrr Corporation | Durable Medical Equipment & Medical Supplies | 664 Mt Prospect Ave, Newark, NJ 07104 | 2017-09-15 |
| 1073032843 | Siddhivinayak Inc | Durable Medical Equipment & Medical Supplies | 90 Bergen St Ste 1600, Newark, NJ 07103-2425 | 2017-09-13 |
| 1760909501 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 140 42 Ferry St, Newark, NJ 07105 | 2017-08-23 |
| 1023532710 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 140 Ferry St # 42, Newark, NJ 07105-2113 | 2017-08-03 |
| 1700326709 | Shie Consulting LLC | Durable Medical Equipment & Medical Supplies | 200 Continental Dr Ste 401, Newark, DE 19713-4337 | 2017-02-24 |
| 1932646783 | Helping Hands Medical Supply | Durable Medical Equipment & Medical Supplies | 351-353 Avon Avenue, Rear Door, Newark, NJ 07108 | 2017-01-31 |
| 1457778276 | Delaware Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 366 E Chestnut Hill Rd, Newark, DE 19713-3737 | 2014-03-19 |
| Find all providers in NEWARK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.