Provider Demographics
NPI:1376604694
Name:HEALTHSTAR MEDICAL EQUIPMENT LLC
Entity Type:Organization
Organization Name:HEALTHSTAR MEDICAL EQUIPMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHLOSSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-614-0071
Mailing Address - Street 1:251 48TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-1011
Mailing Address - Country:US
Mailing Address - Phone:718-492-4444
Mailing Address - Fax:718-492-1300
Practice Address - Street 1:251 48TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-1011
Practice Address - Country:US
Practice Address - Phone:718-492-4444
Practice Address - Fax:718-492-1300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1245015332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02823054Medicaid
NY5708340001Medicare ID - Type UnspecifiedMEDICARE