Paul Macy, CPO 02475

Primary specialty

ProsthetistTaxonomy code 224P00000X

Practice address

305 Flanders Rd Unit 6
East Lyme, CT 06333-1743

Phone

(860) 333-5558

NPI assigned

Nov 29, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Prosthetic & Orthotic Group Pediatric Specialists - Colorado LLC

  • Prosthetic/Orthotic Supplier
  • Aurora, CO
  • NPI 1588062764

  Orthotist

  NPD

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1184334385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 FLANDERS RD UNIT 6",
            "city": "EAST LYME",
            "state": "CT",
            "postal_code": "063331743",
            "telephone_number": "860-333-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 FLANDERS RD UNIT 6",
            "city": "EAST LYME",
            "state": "CT",
            "postal_code": "063331743",
            "telephone_number": "860-333-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACY",
        "first_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "CPO 02475",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-29",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "822138683",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Simone A Longoria, LPC
• Maria A Lopez, M.D.
• David R. Lopriore, L.AC.
• M&M Industries LLC
• Aislinn Anne Macmaster, APRN
• Macyop LLC
• Christie Patricia Marien
• Patricia A Martin, LPC
• Paul Marusov, MD
• Seth J Matton, MD, DMD

• Prosthetist in East Lyme, CT
• Providers in East Lyme, CT by specialty
• Prosthetist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; 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.