Progressive O & P, Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PROGRESSIVE O & P, INC

Practice address

1111 Willis Avenue
Albertson, NY 11507-1230

Phone

(516) 338-8585

Fax

(516) 338-7575

NPI assigned

Jan 30, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Daniel H Bastian, CP

Title

Vice President

Phone

(516) 338-8585

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

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

• Abe Mathews

  • Prosthetist
  • Albertson, NY
  • NPI 1669395638
  NPD (past)
• Robert Henry Von Bargen, CPO

  • Prosthetist
  • Albertson, NY
  • NPI 1093639445
  NPD (past)

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315440000000",
    "number": "1124099031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 WILLIS AVENUE",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115071230",
            "telephone_number": "516-338-8585",
            "fax_number": "516-338-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 WILLIS AVENUE",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115071230",
            "telephone_number": "516-338-8585",
            "fax_number": "516-338-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE O & P, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2011-09-08",
        "status": "A",
        "authorized_official_last_name": "BASTIAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "516-338-8585",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CP"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02072719",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "A2005136",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2225560",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• PN Divine Care Inc
• Raghava Rao Polavarapu, M.D
• Amy Polmar
• Prestige Medical Physicians, PLLC
• Proactive Anesthesia
• Zhan Qian, PTA
• Francine Queen, SLP
• Diana E Quiles, MS.SPED
• Jessica Lynn Randolph, LMHC,CRC
• Elena Rayhan

• Prosthetic/Orthotic Supplier in Albertson, NY
• Providers in Albertson, NY by specialty
• Prosthetic/Orthotic Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.