Prosthetic and Orthotic Designs, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

45PO00016200 Issued in NJ

Legal business name

PROSTHETIC AND ORTHOTIC DESIGNS, LLC

Practice address

110 Crystal Run Rd Ste 109
Middletown, NY 10941-4004

Phone

(845) 703-8134

Fax

(845) 703-8135

NPI assigned

Mar 25, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Jonathan Scott Hess, CPO-LPONPI 1922556562

Title

Prosthetist Orthotist/President

Phone

(845) 480-4391

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

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

• Jonathan Scott Hess, CPO-LPO

  • Prosthetist
  • Middletown, NY
  • NPI 1922556562

  Orthotist

  NPD Authorized official

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

{
    "created_epoch": "1490400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525132800000",
    "number": "1306377809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CRYSTAL RUN RD STE 109",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109414004",
            "telephone_number": "845-703-8134",
            "fax_number": "845-703-8135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CRYSTAL RUN RD STE 109",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109414004",
            "telephone_number": "845-703-8134",
            "fax_number": "845-703-8135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTHETIC AND ORTHOTIC DESIGNS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-25",
        "last_updated": "2018-05-01",
        "status": "A",
        "authorized_official_last_name": "HESS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PROSTHETIST ORTHOTIST/PRESIDENT",
        "authorized_official_telephone_number": "845-480-4391",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO-LPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NJ",
            "license": "45PO00016200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie D Prokopchak, PT
• Promenade at Middletown LLC
• Promenade Middletown LLC
• Promenade Senior Centers LLC
• Prosthetic & Orthotic Associates, Inc.
• Allison Protsko, PHARM D
• Cheryl Provencher, LPN
• Tatyana Pryce
• Maria Pryluck, FNP
• Patricia Ann Pryor, MS

• Prosthetic/Orthotic Supplier in Middletown, NY
• Providers in Middletown, NY by specialty
• Prosthetic/Orthotic Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.