Ortho-Aid Custom Molded Shoes, Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

ORTHO-AID CUSTOM MOLDED SHOES, INC.

Practice address

331 Henry St
Brooklyn, NY 11201-5527

Phone

(718) 858-5880

Fax

(718) 858-5890

NPI assigned

Nov 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Natalia Dochim, C.PED., CFO.

Title

President

Phone

(718) 858-5880

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344211200000",
    "number": "1124191457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 HENRY ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015527",
            "telephone_number": "718-858-5880",
            "fax_number": "718-858-5890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 HENRY ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015527",
            "telephone_number": "718-858-5880",
            "fax_number": "718-858-5890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHO-AID CUSTOM MOLDED SHOES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2012-08-06",
        "status": "A",
        "authorized_official_last_name": "DOCHIM",
        "authorized_official_first_name": "NATALIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-858-5880",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.PED., CFO."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02245141",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Orthocare DME Inc
• Orthocare Medical Supply
• Orthocraft Inc.
• Orthomed Lender, Inc

• Customized Equipment (DME) in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Customized Equipment (DME) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; 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.