Organization Active NPI

Monroe Orthotics & Prosthetics

  • Customized Equipment (DME)
  • Monroe, NY
National Provider Identifier
1043341571
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
MONROE ORTHOTICS & PROSTHETICS
Practice address
52 Mill Pond Parkway
Monroe, NY 10950-3522
Phone
(845) 782-9191
Fax
(845) 782-1222
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Herman Hauer
Title
Owner
Phone
(845) 782-9191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

52 Mill Pond Parkway
Monroe, NY 10950-3522

Mailing address

52 Mill Pond Parkway
Monroe, NY 10950-3522
Phone (845) 782-9191

Other identifiers 1

IdentifierTypeStateIssuer
02921093MedicaidNY

National Provider Directory

National Provider Directory

Locations

52 Millpond Pkwy
Monroe, NY 10950
Phone (845) 782-9191

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1043341571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 MILL POND PARKWAY",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109503522",
            "telephone_number": "845-782-9191",
            "fax_number": "845-782-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 MILL POND PARKWAY",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109503522",
            "telephone_number": "845-782-9191",
            "fax_number": "845-782-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE ORTHOTICS & PROSTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "HAUER",
        "authorized_official_first_name": "HERMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-782-9191"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02921093",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.