Organization Active NPI

Mary Corsetieres LTD

  • Prosthetic/Orthotic Supplier
  • Woodbury, NY
National Provider Identifier
1306902796
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
MARY CORSETIERES LTD
Practice address
930 Woodbury Rd
Woodbury, NY 11797-2502
Phone
(516) 921-4033
Fax
(516) 921-1023
NPI assigned
Dec 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Mary Pera
Title
President
Phone
(516) 921-4033

Specialties & licenses 1

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

Addresses

Primary practice location

930 Woodbury Rd
Woodbury, NY 11797-2502

Mailing address

930 Woodbury Rd
Woodbury, NY 11797-2502
Phone (516) 921-4033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930002383 NY DME Supplier - Prosthetic Personnel 1052430014 Practice locations: Plainview, NY

National Provider Directory

National Provider Directory

Locations

158 Manetto Hill Rd
Plainview, NY 11803
Phone (516) 921-4033

930 Woodbury Rd
Woodbury, NY 11797
Phone (516) 921-4033

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1306902796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 WOODBURY RD",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972502",
            "telephone_number": "516-921-4033",
            "fax_number": "516-921-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 WOODBURY RD",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972502",
            "telephone_number": "516-921-4033",
            "fax_number": "516-921-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY CORSETIERES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PERA",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-921-4033",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NY

Sources for this page

  • 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.