Western New York Orthotic Supply, Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

WESTERN NEW YORK ORTHOTIC SUPPLY, INC.

Practice address

1275 Delaware Ave
Suite 300
Buffalo, NY 14209-2412

Phone

(716) 881-0499

Fax

(716) 884-1128

NPI assigned

Apr 18, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Joseph L. Calabrese, BOC

Title

President

Phone

(716) 881-0499

Specialties & licenses 1

Addresses

Other identifiers 8

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Joseph Carbone, BOCO, CPED

  • Orthotist
  • Buffalo, NY
  • NPI 1548603020
  NPD (past)

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1295790939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 DELAWARE AVE",
            "address_2": "SUITE 300",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142092412",
            "telephone_number": "716-881-0499",
            "fax_number": "716-884-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 DELAWARE AVE",
            "address_2": "SUITE 300",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142092412",
            "telephone_number": "716-881-0499",
            "fax_number": "716-884-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN NEW YORK ORTHOTIC SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CALABRESE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-881-0499",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BOC"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH ID",
            "identifier": "8211684",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00030137201",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA COMMUNITY HEALTH",
            "identifier": "00030137201",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTHWOOD PROVIDER ID",
            "identifier": "080885",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA HEALTHCARE ID",
            "identifier": "00030137201",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02066315",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS PROVIDER ID",
            "identifier": "040401000197",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N7A",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Western New York Integrated Care Collaborative, Inc.
• Western New York Integrated Care Collaborative, Inc.
• Western New York Meidtrans LLC,
• Western New York MRI LLP
• Western New York Orthopaedics, PC
• Western New York Radiology Associates LLC
• Western New York Spine & Chiropractic PLLC
• Western New York Thoracic Surgery, LLC
• Lindsey Karen Westfield, RN
• Teresa Lynn Weston, LCAT, ATR-BC

• All providers in Buffalo, NY
• Customized Equipment (DME) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.