Active NPI
Advanced Orthotics & Prosthetics , LLC
- Prosthetic/Orthotic Supplier
- Troy, NY
National Provider Identifier
1073580759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- ADVANCED ORTHOTICS & PROSTHETICS , LLC
- Practice address
- 950 Hoosick Rd
Troy, NY 12180-6635 - Phone
- (518) 279-4422
- Fax
- (518) 279-0033
- NPI assigned
- Mar 2, 2006
- Last updated
- Aug 4, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael V Bolton, CO
- Title
- Co-Owner
- Phone
- (518) 279-4422
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | NU | Primary |
Addresses
Primary practice location
950 Hoosick Rd
Troy, NY 12180-6635
Mailing address
950 Hoosick Rd
Troy, NY 12180-6635
Phone (518) 279-4422
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600337 | Other | NY | MVP |
| 52371 | Other | NY | GHI HMO |
| G72541 | Other | NY | EMPIRE BC/BS |
| 10052506 | Other | NY | CDPHP |
| 7104270 | Other | NM | AETNA |
| 00040246000 | Other | NY | BLUE SHIELD NENY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930031448 | NY | DME Supplier - Certified Orth/Pros/Pedorthist | 6507977659 | Practice locations: Troy, NY |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Prosthetic/Orthotic Supplier
- Albany, NY
- NPI 1972782324
6507977659
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Advanced Orthotics & Prosthetics | Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Advanced Orthotics Prosthetics LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Albany, NY
- NPI 1972782324
-
- Prosthetic/Orthotic Supplier
- Latham, NY
- NPI 1760606610
Locations
950 Hoosick Rd
Troy, NY 12180
Phone (518) 279-4422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141257600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217808000000",
"number": "1073580759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 HOOSICK RD",
"city": "TROY",
"state": "NY",
"postal_code": "121806635",
"telephone_number": "518-279-4422",
"fax_number": "518-279-0033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 HOOSICK RD",
"city": "TROY",
"state": "NY",
"postal_code": "121806635",
"telephone_number": "518-279-4422",
"fax_number": "518-279-0033"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED ORTHOTICS & PROSTHETICS , LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-02",
"last_updated": "2008-08-04",
"status": "A",
"authorized_official_last_name": "BOLTON",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "518-279-4422",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CO"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "600337",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI HMO",
"identifier": "52371",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC/BS",
"identifier": "G72541",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10052506",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7104270",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD NENY",
"identifier": "00040246000",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Troy, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; 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.