Long Island Comfort Shoes and Pedorthic Services

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

LONG ISLAND COMFORT SHOES AND PEDORTHIC SERVICES

Practice address

403 E Main St
Port Jefferson, NY 11777-1843

Phone

(631) 476-9717

Fax

(631) 476-9718

NPI assigned

Mar 31, 2008

Last updated

Mar 31, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Philip Joseph Celestino, C. PED.NPI 1659493575

Title

Certified Pedorthist

Phone

(631) 476-9717

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Philip Joseph Celestino, C.PED.

  • Specialist
  • Port Jefferson, NY
  • NPI 1659493575
  NPD (past) Authorized official

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1205008117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 E MAIN ST",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771843",
            "telephone_number": "631-476-9717",
            "fax_number": "631-476-9718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 E MAIN ST",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771843",
            "telephone_number": "631-476-9717",
            "fax_number": "631-476-9718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND COMFORT SHOES AND PEDORTHIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "CELESTINO",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CERTIFIED PEDORTHIST",
        "authorized_official_telephone_number": "631-476-9717",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C. PED."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Louis Lograno
• Jessica Lombardi, PA
• Toni Lombardo
• Sonia Martinez London, L.AC.
• Long Island Bone and Joint
• Long Island Eye Physicians & Surgeons,PC
• Long Island Laparoscopic Surgery,P.L.L.C.
• Long Island Pediatric Ophthalmology & Strabismus, P.C.
• Long Island Physician Affiliates, PLLC
• Long Island Physician Associates, PLLC

• Prosthetic/Orthotic Supplier in Port Jefferson, NY
• Providers in Port Jefferson, NY by specialty
• Prosthetic/Orthotic Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.