Active NPI
Andrew Carucci
- Prosthetic/Orthotic Supplier
- Utica, NY
National Provider Identifier
1285744854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- ANDREW CARUCCI
- Practice address
- 1508 Genesee St
Utica, NY 13502-5178 - Phone
- (315) 735-2971
- Fax
- (315) 735-2971
- NPI assigned
- Aug 30, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrew Carucci
- Title
- Owner
- Phone
- (315) 735-2971
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | NU | Primary |
Addresses
Primary practice location
1508 Genesee St
Utica, NY 13502-5178
Mailing address
1600 De Peyster Ave
Utica, NY 13501-5210
Phone (315) 735-2971
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02137942 | Other | NY | NY MEDICAID |
Other names 1
- Walk Along Shoes
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1285744854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 DE PEYSTER AVE",
"city": "UTICA",
"state": "NY",
"postal_code": "135015210",
"telephone_number": "315-735-2971",
"fax_number": "315-735-2971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1508 GENESEE ST",
"city": "UTICA",
"state": "NY",
"postal_code": "135025178",
"telephone_number": "315-735-2971",
"fax_number": "315-735-2971"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANDREW CARUCCI",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-30",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CARUCCI",
"authorized_official_first_name": "ANDREW",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "315-735-2971"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NY MEDICAID",
"identifier": "02137942",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Walk Along Shoes",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Utica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.