NPIMap

Organization Active NPI

Prosthetics by Nelson, Inc.

Doing business as Nelson Prosthetic and Orthotic Laboratory

  • Prosthetic/Orthotic Supplier
  • Orchard Park, NY
National Provider Identifier
1144317918
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
PROSTHETICS BY NELSON, INC.
Doing business as
Nelson Prosthetic and Orthotic Laboratory
Practice address
220 Red Tail Rd Ste 10
Orchard Park, NY 14127-1599
Phone
(716) 675-0001
Fax
(716) 675-8082
NPI assigned
Oct 5, 2006
Last updated
May 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Authorized official

Name
Mr. Daniel Wojcik, CPO
Title
President Ceo
Phone
(716) 894-6666

Specialties & licenses 1

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

Addresses

Primary practice location

220 Red Tail Rd Ste 10
Orchard Park, NY 14127-1599

Mailing address

2959 Genesee St
Cheektowaga, NY 14225-2653
Phone (716) 894-6666

Other identifiers 1

IdentifierTypeStateIssuer
02269354MedicaidNY

Other names 1

  • Nelson Prosthetic and Orthotic Laboratory Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930089284 NY DME Supplier - Orthotic PersonnelDME Supplier - Prosthetic Personnel 3779601299 Practice locations: Orchard Park, NY

Other NPIs with the same Medicare PAC ID 4

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

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Prosthetics by Nelson, Inc.220 Red Tail Rd, Orchard Park, NY 14127-1599(716) 675-0001 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Nelson Prosthetic and Orthotic Laboratory4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

220 Red Tail Rd
Ste 10
Orchard Park, NY 14127
Phone (716) 675-0001

3344 Southwestern Blvd
Orchard Park, NY 14127

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747612800000",
    "number": "1144317918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2959 GENESEE ST",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142252653",
            "telephone_number": "716-894-6666",
            "fax_number": "716-894-1858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 RED TAIL RD STE 10",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271599",
            "telephone_number": "716-675-0001",
            "fax_number": "716-675-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTHETICS BY NELSON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A",
        "authorized_official_last_name": "WOJCIK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT  CEO",
        "authorized_official_telephone_number": "716-894-6666",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02269354",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nelson Prosthetic and Orthotic Laboratory",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nelson Prosthetic and Orthotic Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orchard Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.