Organization Active NPI

Cranial Technologies, Inc.

  • Prosthetic/Orthotic Supplier
  • Hauppauge, NY
National Provider Identifier
1265081731
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
CRANIAL TECHNOLOGIES, INC.
Practice address
1393 Veterans Memorial Hwy Ste 112N
Hauppauge, NY 11788-3079
Phone
(844) 447-5894
Fax
(844) 447-5895
NPI assigned
Sep 8, 2019
Organization subpart
Yes
Parent organization
CRANIAL TECHNOLOGIES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Authorized official

Name
Oumou Bah
Title
Compliance & Medicaid Specialist
Phone
(602) 393-8188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

1393 Veterans Memorial Hwy Ste 112N
Hauppauge, NY 11788-3079

Mailing address

1405 W Auto Dr FL 2
Tempe, AZ 85284-1016
Phone (844) 447-5894

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200219001051 NY DME Supplier - Medical Supply Company 5991824336 Practice locations: Hauppauge, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Cranial Technologies, Inc.1393 Veterans Memorial Hwy, Hauppauge, NY 11788-3079(631) 863-7072 Orthoses: Custom Fabricated|Facial Prostheses Accepts assignmentParticipating since Jan 24, 2020

National Provider Directory

National Provider Directory
Tax ID family
Cranial Technologies Inc105 organizations share this tax ID, including this one
Part of
Cranial Technologies Inc

Organizations with this tax ID in the same state 4

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

1393 Veterans Memorial Hwy
Ste 112N
Hauppauge, NY 11788
Phone (631) 863-7072

NPI Registry JSON

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

{
    "created_epoch": "1567900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1265081731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 W AUTO DR FL 2",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852841016",
            "telephone_number": "844-447-5894",
            "fax_number": "844-447-5895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1393 VETERANS MEMORIAL HWY STE 112N",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117883079",
            "telephone_number": "844-447-5894",
            "fax_number": "844-447-5895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANIAL TECHNOLOGIES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CRANIAL TECHNOLOGIES, INC.",
        "enumeration_date": "2019-09-08",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "BAH",
        "authorized_official_first_name": "OUMOU",
        "authorized_official_title_or_position": "COMPLIANCE & MEDICAID SPECIALIST",
        "authorized_official_telephone_number": "602-393-8188"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.