Organization Active NPI

Andrew Carucci

  • Prosthetic/Orthotic Supplier
  • Utica, NY
National Provider Identifier
1285744854
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02137942OtherNYNY MEDICAID

Other names 1

  • Walk Along Shoes Other name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.