Provider Demographics
NPI:1326147307
Name:MPS SURGICAL SUPPLY CORP
Entity Type:Organization
Organization Name:MPS SURGICAL SUPPLY CORP
Other - Org Name:FALK SURGICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ARNOLD
Authorized Official - Middle Name:
Authorized Official - Last Name:BERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-586-9480
Mailing Address - Street 1:25 ARLENE DR
Mailing Address - Street 2:
Mailing Address - City:ROCKAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07866-2234
Mailing Address - Country:US
Mailing Address - Phone:888-586-9480
Mailing Address - Fax:973-586-9466
Practice Address - Street 1:1167 FIRST AVENUE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065
Practice Address - Country:US
Practice Address - Phone:212-744-8080
Practice Address - Fax:212-737-1532
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2014-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
A715640OtherOXFORD HEALTH PLANS
9658776OtherGHI
A715640OtherOXFORD HEALTH PLANS