NPIMap

Organization Active NPI

Prothotics Technology Inc

Doing business as Prothotics Health

  • Prosthetic/Orthotic Supplier
  • Bronx, NY
National Provider Identifier
1285027557
Registry record updated Apr 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
PROTHOTICS TECHNOLOGY INC
Doing business as
Prothotics Health
Practice address
280 E 161St St
Side Entrance
Bronx, NY 10451-3521
Phone
(877) 776-8400
Fax
(877) 366-5492
NPI assigned
Mar 11, 2015
Last updated
Apr 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2015

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

Authorized official

Name
John Peter Affenita, CPONPI 1407247240
Title
President
Phone
(631) 438-1075

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

280 E 161St St
Side Entrance
Bronx, NY 10451-3521

Mailing address

285 Sills Rd
BLDG 3 Ste D
East Patchogue, NY 11772-4869
Phone (877) 776-8400

Other names 1

  • Prothotics Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pro-Thotics Technology Inc4 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

280 E 161st St
Side Entrance
Bronx, NY 10451
Phone (877) 776-8400

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428969600000",
    "number": "1285027557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 SILLS RD",
            "address_2": "BLDG 3 STE D",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117724869",
            "telephone_number": "877-776-8400",
            "fax_number": "877-366-5492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 E 161ST ST",
            "address_2": "SIDE ENTRANCE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104513521",
            "telephone_number": "877-776-8400",
            "fax_number": "877-366-5492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROTHOTICS TECHNOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-11",
        "last_updated": "2015-04-14",
        "status": "A",
        "authorized_official_last_name": "AFFENITA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-438-1075",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prothotics Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; 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.