NPIMap

Organization Active NPI

Eschen Prosthetic & Orthotic Laboratories, Inc.

  • Prosthetic/Orthotic Supplier
  • Riverhead, NY
National Provider Identifier
1184179152
Registry record updated Aug 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
ESCHEN PROSTHETIC & ORTHOTIC LABORATORIES, INC.
Practice address
889 Harrison Ave
Suite 2a
Riverhead, NY 11901-2090
Phone
(631) 727-8735
Fax
(631) 727-6834
NPI assigned
Aug 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2016

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

Authorized official

Name
Andrew H Meyers, CPO
Title
President
Phone
(212) 606-1262

Specialties & licenses 1

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

Addresses

Primary practice location

889 Harrison Ave
Suite 2a
Riverhead, NY 11901-2090

Mailing address

510 E 73Rd St
Suite 201a
New York, NY 10021-4010
Phone (212) 606-1262

Other names 1

  • EASTSIDE ORTHOTICS & PROSTHETICS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170221002944 NY DME Supplier - Orthotic PersonnelDME Supplier - Prosthetic Personnel 7517086994 Practice locations: Riverhead, NY

Other NPIs with the same Medicare PAC ID 5

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

National Provider Directory

National Provider Directory
Tax ID family
Eschen Prosthetic Orthotic Laboratories Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471564800000",
    "number": "1184179152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 E 73RD ST",
            "address_2": "SUITE 201A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214010",
            "telephone_number": "212-606-1262",
            "fax_number": "212-606-1842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "889 HARRISON AVE",
            "address_2": "SUITE 2A",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012090",
            "telephone_number": "631-727-8735",
            "fax_number": "631-727-6834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESCHEN PROSTHETIC & ORTHOTIC LABORATORIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-19",
        "last_updated": "2016-08-19",
        "status": "A",
        "authorized_official_last_name": "MEYERS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-606-1262",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EASTSIDE ORTHOTICS & PROSTHETICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverhead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.