Empire State Prosthetics, Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

EMPIRE STATE PROSTHETICS, INC.

Practice address

164B Long Beach Rd
Island Park, NY 11558-1512

Phone

(516) 378-0975

NPI assigned

Jan 15, 2008

Last updated

Mar 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Robert J Traut, CPNPI 1023021383

Title

Certified Prosthetist

Phone

(516) 378-0975

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Traut, C.P.

  • Prosthetics Case Management
  • Island Park, NY
  • NPI 1023021383
  NPD (past) Authorized official

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1255517785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164B LONG BEACH RD",
            "city": "ISLAND PARK",
            "state": "NY",
            "postal_code": "115581512",
            "telephone_number": "516-378-0975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164B LONG BEACH RD",
            "city": "ISLAND PARK",
            "state": "NY",
            "postal_code": "115581512",
            "telephone_number": "516-378-0975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRE STATE PROSTHETICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "TRAUT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CERTIFIED PROSTHETIST",
        "authorized_official_telephone_number": "516-378-0975",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CP"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02915415",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Virginia Lee Davis, CCC-SLP
• Matthew Dibono, DPT
• Maria Digennaro
• Dr Christian Nahas D.O. P.C.
• Andrea K Dworkis, M.A. CCC/SLP
• Lydia Marie Espaillat, DPT
• Nancy Felder
• John Michael Finneran, PT, DPT
• Randi Jill Fuhr-Carmichael, DDS
• Laurie Ellen Goldschlag, M.A.

• Customized Equipment (DME) in Island Park, NY
• Providers in Island Park, NY by specialty
• Customized Equipment (DME) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.