Organization Active NPI

New York Orthotic and Prosthetic

  • Prosthetic/Orthotic Supplier
  • New York, NY
National Provider Identifier
1093890832
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
859 Issued in NY
Legal business name
NEW YORK ORTHOTIC AND PROSTHETIC
Practice address
67 Irving PL, South
New York, NY 10003-2202
Phone
(212) 673-6267
NPI assigned
Oct 26, 2006
Last updated
Dec 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Authorized official

Name
Mr. Ira MillerNPI 1093812570
Title
President
Phone
(212) 673-6267

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 859 NY Primary

Addresses

Primary practice location

67 Irving PL, South
New York, NY 10003-2202

Mailing address

505 Northern Blvd
Great Neck, NY 11021-5101
Phone (516) 466-6751

Other identifiers 1

IdentifierTypeStateIssuer
00737884MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
New York Orthotic and Prosthetic2 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1093890832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 NORTHERN BLVD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215101",
            "telephone_number": "516-466-6751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 IRVING PL, SOUTH",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100032202",
            "telephone_number": "212-673-6267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK ORTHOTIC AND PROSTHETIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "IRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-673-6267",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NY",
            "license": "859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00737884",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 11, 2007; 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.