Organization Active NPI

New York Outpatient Mangement Service

  • Prosthetic/Orthotic Supplier
  • Plainview, NY
National Provider Identifier
1205975646
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
NEW YORK OUTPATIENT MANGEMENT SERVICE
Practice address
100 Manetto Hill Rd
Suite 204
Plainview, NY 11803-1311
Phone
(516) 932-0803
Fax
(888) 552-6176
NPI assigned
Feb 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Cyndi L Greene
Title
Managed Care Director
Phone
(631) 813-2143

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X CP2712 NY
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

100 Manetto Hill Rd
Suite 204
Plainview, NY 11803-1311

Mailing address

120 Newham Ave
Brentwood, NY 11717-5624
Phone (631) 813-2143

National Provider Directory

National Provider Directory

Locations

100 Manetto Hill Rd
Ste 204
Plainview, NY 11803
Phone (212) 628-7300

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1205975646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 NEWHAM AVE",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117175624",
            "telephone_number": "631-813-2143",
            "fax_number": "888-552-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MANETTO HILL RD",
            "address_2": "SUITE 204",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118031311",
            "telephone_number": "516-932-0803",
            "fax_number": "888-552-6176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK OUTPATIENT MANGEMENT SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "CYNDI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGED CARE DIRECTOR",
        "authorized_official_telephone_number": "631-813-2143"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NY",
            "license": "CP2712",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.