Organization Active NPI

Prosthetics by Nelson, Inc.

  • Prosthetic/Orthotic Supplier
  • Lockport, NY
National Provider Identifier
1275620049
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
PROSTHETICS BY NELSON, INC.
Doing business as
Nelson Prosthetic and Orthotic Laboratory
Practice address
60 Professional Pkwy
Lockport, NY 14094-5366
Phone
(716) 433-5700
Fax
(716) 433-0600
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Authorized official

Name
Mr. Daniel Wojcik, CPO
Title
President/Ceo
Phone
(716) 894-6666

Specialties & licenses 1

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

Addresses

Primary practice location

60 Professional Pkwy
Lockport, NY 14094-5366

Mailing address

2959 Genesee St
Cheektowaga, NY 14225-2653
Phone (716) 894-6666

Other identifiers 1

IdentifierTypeStateIssuer
02240522MedicaidNY

Other names 1

  • Nelson Prosthetic and Orthotic Laboratory Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930051583 NY DME Supplier - Prosthetic PersonnelDME Supplier - Orthotic Personnel 3779601299 Practice locations: Lockport, NY

Other NPIs with the same Medicare PAC ID 4

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

National Provider Directory

National Provider Directory
Tax ID family
Nelson Prosthetic and Orthotic Laboratory4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

2959 Genesee St
Cheektowaga, NY 14225
Phone (716) 741-1330

60 Professional Pkwy
Lockport, NY 14094
Phone (716) 433-5700

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747612800000",
    "number": "1275620049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2959 GENESEE ST",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142252653",
            "telephone_number": "716-894-6666",
            "fax_number": "716-894-1858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 PROFESSIONAL PKWY",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140945366",
            "telephone_number": "716-433-5700",
            "fax_number": "716-433-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTHETICS BY NELSON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A",
        "authorized_official_last_name": "WOJCIK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "716-894-6666",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02240522",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nelson Prosthetic and Orthotic Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lockport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.