Pro2 LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

PRO2 LLC

Practice address

1491 Sheridan Dr Ste 500
Kenmore, NY 14217-1258

Phone

(716) 923-2727

Fax

(716) 608-8777

NPI assigned

Jun 29, 2021

Organization subpart

Yes

Parent organization

PRO2,LLCAs reported in NPPES

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

Authorized official

Name

Peter Tallas

Title

Ceo

Phone

(781) 995-2243

Specialties & licenses 1

Addresses

Part of

Pro2 LLC

Locations

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1275103657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3586 CALIFORNIA RD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271746",
            "telephone_number": "716-667-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1491 SHERIDAN DR STE 500",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171258",
            "telephone_number": "716-923-2727",
            "fax_number": "716-608-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO2 LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRO2,LLC",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "TALLAS",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "781-995-2243"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Poudy, OTR/L
• Robert J Powalski Jr., MD
• Felicia Powell, MS,OTR/L
• Kevin Noble Powers
• Katelynn Faith Prendergast, RDN
• Matthew Profeta, PT
• Dominique Latoya Prophet, COTA
• Kaylee Jo Przybysz
• David Anthony Przynosch, AUD
• Purely Connected, LLC

• Oxygen Equipment & Supplies (DME) in Kenmore, NY
• Providers in Kenmore, NY by specialty
• Oxygen Equipment & Supplies (DME) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.