Sampson's Prosthetic Laboratory Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

SAMPSON'S PROSTHETIC LABORATORY INC

Doing business as

Hanger Clinic

Practice address

178 Washington Avenue Ext Ste 102
Albany, NY 12203-5323

Phone

(518) 374-6011

Fax

(518) 393-3292

NPI assigned

May 15, 2007

Last updated

Dec 6, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

HANGER INCAs reported in NPPES

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

Authorized official

Name

Grace Angeline

Title

Provider Contract Analyst III

Phone

(714) 961-2102

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Hanger Clinic Doing business as

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1235345612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650846",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 WASHINGTON AVENUE EXT STE 102",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122035323",
            "telephone_number": "518-374-6011",
            "fax_number": "518-393-3292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMPSON'S PROSTHETIC LABORATORY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HANGER INC",
        "enumeration_date": "2007-05-15",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "ANGELINE",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "PROVIDER CONTRACT ANALYST III",
        "authorized_official_telephone_number": "714-961-2102"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03003394",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hanger Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Renee Samelson, M.D.
• Jaime Sampat, RN
• Prashanth Sampath-Kumar, MD
• Sampson Optical Corp. (DBA Pearle Vision)
• Sampson Optical Corp. (Pearle Vision)
• Samskara Counseling LCSW PLLC
• Brianna Samson, PA-C
• Eric Jose Samson, DC
• Susan M Samson, FNP
• Teva Samuel Dowe

• Prosthetic/Orthotic Supplier in Albany, NY
• Providers in Albany, 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 Dec 6, 2023; 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.