Organization Active NPI

Rochester Orthopedic Laboratories, Inc.

  • Prosthetic/Orthotic Supplier
  • Rochester, NY
National Provider Identifier
1225135205
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
ROCHESTER ORTHOPEDIC LABORATORIES, INC.
Practice address
300 Airpark Dr
Suite 100
Rochester, NY 14624-5723
Phone
(585) 272-1060
Fax
(585) 272-0871
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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

Authorized official

Name
Ms. Jennifer Moncrief
Title
President
Phone
(585) 272-1060

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

300 Airpark Dr
Suite 100
Rochester, NY 14624-5723

Mailing address

300 Airpark Dr
Suite 100
Rochester, NY 14624-5723
Phone (585) 272-1060

Other identifiers 2

IdentifierTypeStateIssuer
00422808MedicaidNY
VA528-14-D-0089OtherNYVA

National Provider Directory

National Provider Directory

Locations

300 Airpark Dr
Ste 100
Rochester, NY 14624
Phone (585) 272-1060

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477958400000",
    "number": "1225135205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 AIRPARK DR",
            "address_2": "SUITE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146245723",
            "telephone_number": "585-272-1060",
            "fax_number": "585-272-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 AIRPARK DR",
            "address_2": "SUITE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146245723",
            "telephone_number": "585-272-1060",
            "fax_number": "585-272-0871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCHESTER ORTHOPEDIC LABORATORIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-11-01",
        "status": "A",
        "authorized_official_last_name": "MONCRIEF",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-272-1060",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00422808",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA",
            "identifier": "VA528-14-D-0089",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; 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.