Konrad Prosthetics and Orthotics, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

KONRAD PROSTHETICS AND ORTHOTICS, INC.

Practice address

596 Jennings Ave
West Hempstead, NY 11552-3706

Phone

(516) 485-9164

Fax

(516) 485-9170

NPI assigned

Jun 30, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Kurt Konrad, CPO E

Title

President

Phone

(516) 485-9164

Specialties & licenses 2

Addresses

Other identifiers 3

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1255338703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 JENNINGS AVE",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115523706",
            "telephone_number": "516-485-9164",
            "fax_number": "516-485-9170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 JENNINGS AVE",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115523706",
            "telephone_number": "516-485-9164",
            "fax_number": "516-485-9170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KONRAD PROSTHETICS AND ORTHOTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "KONRAD",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-485-9164",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO E"
    },
    "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": "00376343",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS",
            "identifier": "G5336",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "96463",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lisa Korman, PSYD
• Samantha M Koshy, SLP
• Polina N Kouumdjiev, RN
• Wendy Kravat

• Prosthetic/Orthotic Supplier in West Hempstead, NY
• Providers in West Hempstead, 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 Aug 17, 2018; 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.