Organization Active NPI

Eschen Prosthetic & Orthotic Laboratories, Inc

  • Prosthetic/Orthotic Supplier
  • New York, NY
National Provider Identifier
1053763268
Registry record updated Dec 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
ESCHEN PROSTHETIC & ORTHOTIC LABORATORIES, INC
Practice address
601 W 168TH St Apt 24
New York, NY 10032-3707
Phone
(212) 305-3275
Fax
(212) 305-5927
NPI assigned
Jul 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2017

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

Authorized official

Name
Andrew H Meyers, CPO
Title
President
Phone
(212) 606-1262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

601 W 168TH St Apt 24
New York, NY 10032-3707

Mailing address

510 E 73Rd St
Suite 201a
New York, NY 10021-4010
Phone (212) 606-1262

Other names 1

  • EASTSIDE ORTHOTICS & PROSTHETICS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170223000088 NY DME Supplier - Orthotic PersonnelDME Supplier - Prosthetic Personnel 7517086994 Practice locations: New York, NY

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Eastside Orthotics & Prosthetics601 West 168TH St, New York, NY 10032-3720(212) 305-3275 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Eschen Prosthetic Orthotic Laboratories Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1393 Veterans Hwy
Ste 104N
Hauppauge, NY 11788
Phone (631) 467-3725

601 W 168th St
Apt 24
New York, NY 10032
Phone (212) 305-3275

889 Harrison Ave
Ste 2
Riverhead, NY 11901
Phone (631) 727-8735

NPI Registry JSON

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512432000000",
    "number": "1053763268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 E 73RD ST",
            "address_2": "SUITE 201A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214010",
            "telephone_number": "212-606-1262",
            "fax_number": "212-606-1842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W 168TH ST APT 24",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323707",
            "telephone_number": "212-305-3275",
            "fax_number": "212-305-5927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESCHEN PROSTHETIC & ORTHOTIC LABORATORIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-12",
        "last_updated": "2017-12-05",
        "status": "A",
        "authorized_official_last_name": "MEYERS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-606-1262",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EASTSIDE ORTHOTICS & PROSTHETICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.