Custom Orthopedic Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CUSTOM ORTHOPEDIC SUPPLY LLC

Practice address

100 Lawrence Street
Suite 201
Nanuet, NY 10954

Phone

(650) 550-8515

NPI assigned

Aug 23, 2017

Organization subpart

No

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

Authorized official

Name

Faigy WeberNPI 1649719634

Title

Owner

Phone

(650) 550-8515

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Faigy Weber

  • Durable Medical Equipment & Medical Supplies
  • Nanuet, NY
  • NPI 1649719634
  NPD (past) Authorized official

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503446400000",
    "number": "1093232811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LAWRENCE ST STE 201",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109545033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LAWRENCE STREET",
            "address_2": "SUITE 201",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "10954",
            "telephone_number": "650-550-8515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM ORTHOPEDIC SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-23",
        "last_updated": "2017-08-23",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "FAIGY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-550-8515"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cur Alta Medical Ny PLLC
• Cur Alta Medical Ny PLLC
• Jermain Gerald Curtis, LPN
• Lisa Amanda Curtis
• Nancy Cusack, RN
• Jean Max Cyprien Sr.
• Mary Czerwinski
• Laura D'Angelo, LCSW
• Maria M D'Angelo, MD
• Colleen D'Anna

• Durable Medical Equipment & Medical Supplies in Nanuet, NY
• Providers in Nanuet, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2017; 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.