Northeast Orthotics & Prosthetics, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

CPO00018 Issued in RI

Legal business name

NORTHEAST ORTHOTICS & PROSTHETICS, INC.

Practice address

765 Allens Ave
Suite 250
Providence, RI 02905-5443

Phone

(401) 437-8016

Fax

(401) 437-8923

NPI assigned

Jan 24, 2012

Organization subpart

No

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

Authorized official

Name

Mark Steven Marich, CPO

Title

Owner

Phone

(401) 437-8016

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Northeast Orthotics & Prosthetics, Inc.

  • Prosthetic/Orthotic Supplier
  • Providence, RI
  • NPI 1356343651

  3577689199

  Same PAC ID

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

Tax ID family

Northeast Orthotics and Prosthetics Inc2 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.

• Northeast Orthotics & Prosthetics, Inc.

  • Prosthetic/Orthotic Supplier
  • Providence, RI
  • NPI 1356343651
  NPD tax ID

Locations

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352419200000",
    "number": "1124399084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 ALLENS AVE",
            "address_2": "SUITE 250",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029055443",
            "telephone_number": "401-437-8016",
            "fax_number": "401-437-8923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 ALLENS AVE",
            "address_2": "SUITE 250",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029055443",
            "telephone_number": "401-437-8016",
            "fax_number": "401-437-8923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST ORTHOTICS & PROSTHETICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-24",
        "last_updated": "2012-11-09",
        "status": "A",
        "authorized_official_last_name": "MARICH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-437-8016",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "RI",
            "license": "CPO00018",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "RI",
            "license": "CO00011",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephany E Noriega Santos
• James Norman, LICSW
• Alyssa Lynne Norris, PHD
• Meghan Rose Norsigian, LCSW
• Northeast Chiropractic
• Northeast Orthotics & Prosthetics, Inc.
• Northeast Oxygen Service
• Jessica Northup, RD
• James Lawrence Norton, O.D.
• Andrew Paul John Notaras, LICSW

• Prosthetic/Orthotic Supplier in Providence, RI
• Providers in Providence, RI by specialty
• Prosthetic/Orthotic Supplier in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; 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.