NPIMap

Organization Active NPI

New England Orthotic & Prosthetic Systems, LLC

  • Prosthetic/Orthotic Supplier
  • Monroe, NY
National Provider Identifier
1235522178
Registry record updated Sep 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
NEW ENGLAND ORTHOTIC & PROSTHETIC SYSTEMS, LLC
Practice address
745 State Route 17M
Suite 107
Monroe, NY 10950-2660
Phone
(845) 783-6321
Fax
(845) 782-7871
NPI assigned
Mar 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2016

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

Authorized official

Name
Mr. David Mahler, CPO
Title
Ceo
Phone
(203) 483-8488

Specialties & licenses 2

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

Addresses

Primary practice location

745 State Route 17M
Suite 107
Monroe, NY 10950-2660

Mailing address

16 Commercial St
Branford, CT 06405-2801
Phone (203) 483-8488

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150903001985 NY DME Supplier - Medical Supply Company With Orthotic-Prosthetic 4981725629 Practice locations: Monroe, NY

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
New England Orthotic and Prosthetic Systems LLC16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

745 State Route 17M
Ste 107
Monroe, NY 10950
Phone (845) 783-6321

NPI Registry JSON

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

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473724800000",
    "number": "1235522178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 COMMERCIAL ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064052801",
            "telephone_number": "203-483-8488",
            "fax_number": "203-483-6085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 STATE ROUTE 17M",
            "address_2": "SUITE 107",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109502660",
            "telephone_number": "845-783-6321",
            "fax_number": "845-782-7871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENGLAND ORTHOTIC & PROSTHETIC SYSTEMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-17",
        "last_updated": "2016-09-13",
        "status": "A",
        "authorized_official_last_name": "MAHLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "203-483-8488",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.