Organization Active NPI

Laurel Medical Supplies, Inc.

  • Prosthetic/Orthotic Supplier
  • Duncansville, PA
National Provider Identifier
1104081496
Registry record updated May 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
6000007239 Issued in PA
Legal business name
LAUREL MEDICAL SUPPLIES, INC.
Practice address
1792 Old Route 220 North
Duncansville, PA 16635
Phone
(814) 317-5041
Fax
(814) 317-5044
NPI assigned
Jul 25, 2008
Organization subpart
Yes
Parent organization
LAUREL MEDICAL SUPPLIES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 20, 2011

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

Authorized official

Name
Mr. John J Letizia, ATS
Title
President
Phone
(800) 338-1702

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 6000007239 PA Primary

Addresses

Primary practice location

1792 Old Route 220 North
Duncansville, PA 16635

Mailing address

1792 Old Route 220 North
Duncansville, PA 16635
Phone (814) 317-5041

Other identifiers 2

IdentifierTypeStateIssuer
001098403MedicaidPA
2149623OtherHIGHMARK BC/BS

Other names 1

  • Golden Orthotics and Prosthetics Doing business as

National Provider Directory

National Provider Directory
Part of
Laurel Medical Supplies

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305849600000",
    "number": "1104081496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1792 OLD ROUTE 220 NORTH",
            "city": "DUNCANSVILLE",
            "state": "PA",
            "postal_code": "16635",
            "telephone_number": "814-317-5041",
            "fax_number": "814-317-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1792 OLD ROUTE 220 NORTH",
            "city": "DUNCANSVILLE",
            "state": "PA",
            "postal_code": "16635",
            "telephone_number": "814-317-5041",
            "fax_number": "814-317-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL MEDICAL SUPPLIES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAUREL MEDICAL SUPPLIES, INC.",
        "enumeration_date": "2008-07-25",
        "last_updated": "2011-05-20",
        "status": "A",
        "authorized_official_last_name": "LETIZIA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-338-1702",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ATS"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "PA",
            "license": "6000007239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001098403",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BC/BS",
            "identifier": "2149623",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Orthotics and Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Duncansville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2011; 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.