NPIMap

Organization Active NPI

Care Crafters Prosthetics & Orthotics, Inc

  • Prosthetist
  • Nanuet, NY
National Provider Identifier
1215067756
Registry record updated Apr 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
45PO00013300 Issued in NJ
Legal business name
CARE CRAFTERS PROSTHETICS & ORTHOTICS, INC
Practice address
95 New Clarkstown Rd
Nanuet, NY 10954-5203
Phone
(845) 426-6900
Fax
(845) 426-6926
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2016

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

Authorized official

Name
Mr. Thaddeus Edward Drygas, CPO FAAOPNPI 1417923103
Title
President
Phone
(845) 426-6900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OrthotistGroup: 193200000X MULTI-SPECIALTY GROUP 222Z00000X 45PO00013300 NJ
ProsthetistGroup: 193200000X MULTI-SPECIALTY GROUP 224P00000X 45PO00013300 NJ Primary

Addresses

Primary practice location

95 New Clarkstown Rd
Nanuet, NY 10954-5203

Mailing address

95 New Clarkstown Rd
Nanuet, NY 10954-5203
Phone (845) 426-6900

Other identifiers 6

IdentifierTypeStateIssuer
VION3P0506OtherNYVETERANS ADMINISTRATION
8586501MedicaidNJ
9602046OtherNYGHI PROVIDER NUMBER
A398916OtherNYOXFORD PROVIDER NUMBER
01703433MedicaidNY
288276OtherNYWELLCARE PROVIDER NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930002612 NY DME Supplier - Medical Supply Company With Prosthetic PersonnelDME Supplier - Medical Supply Company With Pedorthic PersonnelDME Supplier - Pedorthic PersonnelDME Supplier - Orthotic PersonnelDME Supplier - Medical Supply Company With Orthotic-ProstheticDME Supplier - Prosthetic PersonnelDME Supplier - Medical Supply Company With Orthotic Personnel 3375663438 Practice locations: Nanuet, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Care Crafters Orthotics & Prostheti95 New Clarkstown Rd, Nanuet, NY 10954-5203(845) 426-6900 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460678400000",
    "number": "1215067756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 NEW CLARKSTOWN RD",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109545203",
            "telephone_number": "845-426-6900",
            "fax_number": "845-426-6926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 NEW CLARKSTOWN RD",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109545203",
            "telephone_number": "845-426-6900",
            "fax_number": "845-426-6926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE CRAFTERS PROSTHETICS & ORTHOTICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2016-04-15",
        "status": "A",
        "authorized_official_last_name": "DRYGAS",
        "authorized_official_first_name": "THADDEUS",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-426-6900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO FAAOP"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthotist",
            "state": "NJ",
            "license": "45PO00013300",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prosthetist",
            "state": "NJ",
            "license": "45PO00013300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VETERANS ADMINISTRATION",
            "identifier": "VION3P0506",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8586501",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PROVIDER NUMBER",
            "identifier": "9602046",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD PROVIDER NUMBER",
            "identifier": "A398916",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01703433",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE PROVIDER NUMBER",
            "identifier": "288276",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nanuet, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.