Organization Active NPI

National Pedorthic Services, Inc.

  • Prosthetic/Orthotic Supplier
  • Rochester, NY
National Provider Identifier
1083728653
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
NATIONAL PEDORTHIC SERVICES, INC.
Practice address
1280 Scottsville Rd
Suite 20
Rochester, NY 14624-5147
Phone
(585) 235-9030
Fax
(585) 235-8514
NPI assigned
Aug 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Nicole Janisse
Title
Corporate Facility Manager
Phone
(414) 438-1211

Specialties & licenses 1

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

Addresses

Primary practice location

1280 Scottsville Rd
Suite 20
Rochester, NY 14624-5147

Mailing address

7283 W Appleton Ave
Milwaukee, WI 53216-1932
Phone (414) 438-1211

Other identifiers 1

IdentifierTypeStateIssuer
01753346MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
National Pedorthic Serv2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1280 Scottsville Rd
Ste 20
Rochester, NY 14624
Phone (585) 235-9030

7283 W Appleton Ave
Milwaukee, WI 53216

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083728653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7283 W APPLETON AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532161932",
            "telephone_number": "414-438-1211",
            "fax_number": "414-438-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 SCOTTSVILLE RD",
            "address_2": "SUITE 20",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146245147",
            "telephone_number": "585-235-9030",
            "fax_number": "585-235-8514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL PEDORTHIC SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JANISSE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CORPORATE FACILITY MANAGER",
        "authorized_official_telephone_number": "414-438-1211"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01753346",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.