Healthcare Provider Details

I. General information

NPI: 1851498414
Provider Name (Legal Business Name): NELSON'S SURGICAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2711 EDGMONT AVE
BROOKHAVEN PA
19015-3316
US

IV. Provider business mailing address

2711 EDGMONT AVE
BROOKHAVEN PA
19015-3316
US

V. Phone/Fax

Practice location:
  • Phone: 610-876-4935
  • Fax:
Mailing address:
  • Phone: 610-876-4935
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number6000003505
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: SCOTT LUXON
Title or Position: PRESIDENT/CEO
Credential:
Phone: 610-876-4935