Organization Active NPI

Huysman Orthotics LTD.

  • Prosthetic/Orthotic Supplier
  • East Moriches, NY
National Provider Identifier
1215065628
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
HUYSMAN ORTHOTICS LTD.
Practice address
494 Montauk Highway
East Moriches, NY 11940-0202
Phone
(631) 878-8864
Fax
(631) 878-0919
NPI assigned
Feb 28, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. David Dominic Huysman, C.P.O.
Title
Certified Prosthetist-Orthotist PR
Phone
(631) 878-8864

Specialties & licenses 1

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

Addresses

Primary practice location

494 Montauk Highway
East Moriches, NY 11940-0202

Mailing address

PO Box 202
East Moriches, NY 11940-0202
Phone (631) 878-8864

National Provider Directory

National Provider Directory

Locations

494 Montauk Hwy
East Moriches, NY 11940
Phone (631) 878-8864

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215065628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 202",
            "city": "EAST MORICHES",
            "state": "NY",
            "postal_code": "119400202",
            "telephone_number": "631-878-8864",
            "fax_number": "631-878-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "494 MONTAUK HIGHWAY",
            "city": "EAST MORICHES",
            "state": "NY",
            "postal_code": "119400202",
            "telephone_number": "631-878-8864",
            "fax_number": "631-878-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUYSMAN ORTHOTICS LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUYSMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "DOMINIC",
        "authorized_official_title_or_position": "CERTIFIED PROSTHETIST-ORTHOTIST  PR",
        "authorized_official_telephone_number": "631-878-8864",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.P.O."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Moriches, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.