NPIMap

Organization Active NPI

Laurel Medical Supplies, Inc.

  • Prosthetic/Orthotic Supplier
  • Johnstown, PA
National Provider Identifier
1144459181
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
6000007426 Issued in PA
Legal business name
LAUREL MEDICAL SUPPLIES, INC.
Practice address
214 College Park PLZ
Suite 111
Johnstown, PA 15904-2833
Phone
(800) 338-1702
Fax
(814) 472-7555
NPI assigned
Jul 13, 2009
Organization subpart
Yes
Parent organization
LAUREL MEDICAL SUPPLIES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 6000007426 PA Primary

Addresses

Primary practice location

214 College Park PLZ
Suite 111
Johnstown, PA 15904-2833

Mailing address

214 College Park PLZ
Suite 111
Johnstown, PA 15904-2833
Phone (800) 338-1702

Other identifiers 1

IdentifierTypeStateIssuer
001098403MedicaidPA

Other names 1

  • Golden Orthotics and Prothetics Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110104000023 PA DME Supplier - Medical Supply Company With Orthotic-Prosthetic 3072630698 Practice locations: Johnstown, PA

Other NPIs with the same Medicare PAC ID 1

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
Laurel Medical Supplies, Inc.214 College Park PLZ, Johnstown, PA 15904-2833(814) 254-4369 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Does not accept assignmentParticipating since Jan 1, 2001

National Provider Directory

National Provider Directory
Tax ID family
Laurel Medical Supplies2 organizations share this tax ID, including this one
Part of
Laurel Medical Supplies

Other organizations with this tax ID 1

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

Locations

179 Thomas Johnson Dr
Ste B
Frederick, MD 21702
Phone (301) 378-2266

4987 Winchester Blvd
Unit 3
Frederick, MD 21703
Phone (301) 418-6140

214 College Park Plz
Ste 111
Johnstown, PA 15904
Phone (800) 338-1702

111 College Park Plz
Johnstown, PA 15904
Phone (814) 226-2400

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 12

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": "1247443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645747200000",
    "number": "1144459181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 COLLEGE PARK PLZ",
            "address_2": "SUITE 111",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159042833",
            "telephone_number": "800-338-1702",
            "fax_number": "814-472-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 COLLEGE PARK PLZ",
            "address_2": "SUITE 111",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159042833",
            "telephone_number": "800-338-1702",
            "fax_number": "814-472-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL MEDICAL SUPPLIES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAUREL MEDICAL SUPPLIES, INC.",
        "enumeration_date": "2009-07-13",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "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."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "PA",
            "license": "6000007426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001098403",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Orthotics and Prothetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Johnstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.