Organization Active NPI

New England Orthotics & Prosthetics Systems, LLC

  • Prosthetic/Orthotic Supplier
  • Hauppauge, NY
National Provider Identifier
1073868394
Registry record updated Jul 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
NEW ENGLAND ORTHOTICS & PROSTHETICS SYSTEMS, LLC
Practice address
517 Route 111
Suite 301B
Hauppauge, NY 11788-4338
Phone
(631) 360-3859
Fax
(631) 360-3959
NPI assigned
Jul 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2012

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

Authorized official

Name
Mr. Ronald Manganiello
Title
Member
Phone
(203) 483-8488

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

517 Route 111
Suite 301B
Hauppauge, NY 11788-4338

Mailing address

22 Summit PL
Unit 101a
Branford, CT 06405-4111
Phone (203) 483-8488

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343088000000",
    "number": "1073868394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 SUMMIT PL",
            "address_2": "UNIT 101A",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064054111",
            "telephone_number": "203-483-8488",
            "fax_number": "203-843-6085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 ROUTE 111",
            "address_2": "SUITE 301B",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884338",
            "telephone_number": "631-360-3859",
            "fax_number": "631-360-3959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENGLAND ORTHOTICS & PROSTHETICS SYSTEMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-24",
        "last_updated": "2012-07-24",
        "status": "A",
        "authorized_official_last_name": "MANGANIELLO",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "203-483-8488",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; 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.