Long Island Orthotics and Prosthetics

Primary specialty

ProsthetistTaxonomy code 224P00000X

Legal business name

LONG ISLAND ORTHOTICS AND PROSTHETICS

Practice address

4551 Sunrise Hwy Ste 1
Bohemia, NY 11716-4637

Phone

(631) 482-1650

Fax

(631) 482-1651

NPI assigned

Aug 20, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Marc E Werner, C.P.O.NPI 1144463860

Title

Owner/Cpo

Phone

(631) 482-1650

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

Locations

Practitioners 1

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

• Marc E Werner, C.P.O.

  • Prosthetist
  • West Babylon, NY
  • NPI 1144463860

  Orthotist

  NPD (past) Authorized official

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638403200000",
    "number": "1235361585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4551 SUNRISE HWY STE 1",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117164637",
            "telephone_number": "631-482-1650",
            "fax_number": "631-482-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4551 SUNRISE HWY STE 1",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117164637",
            "telephone_number": "631-482-1650",
            "fax_number": "631-482-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND ORTHOTICS AND PROSTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-20",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A",
        "authorized_official_last_name": "WERNER",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/CPO",
        "authorized_official_telephone_number": "631-482-1650",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.P.O."
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Lipinski, LAC
• Long Island Ambulette
• Long Island Emdr LCSW P.C.
• Long Island Limo Inc
• Long Island Limo Inc
• Lucky Medical Supply
• Dana Ellen Luther, M.S.
• Lori Lyons-McInerney, LPN
• M.H. Optical Inc.
• Deborah Ann Macdowell, R.N.

• Prosthetist in Bohemia, NY
• Providers in Bohemia, NY by specialty
• Prosthetist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.