Prime Ortho Care LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PRIME ORTHO CARE LLC

Practice address

123 Medford Ave
East Patchogue, NY 11772-1203

Phone

(929) 653-1122

NPI assigned

Jan 6, 2025

Last updated

Mar 27, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Sam Oscar

Title

Facility Manager

Phone

(929) 653-1122

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743033600000",
    "number": "1336958289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1652 MANATUCK BLVD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117062149",
            "telephone_number": "929-653-1122",
            "fax_number": "832-284-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 MEDFORD AVE",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117721203",
            "telephone_number": "929-653-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME ORTHO CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A",
        "authorized_official_last_name": "OSCAR",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "FACILITY MANAGER",
        "authorized_official_telephone_number": "929-653-1122",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in East Patchogue, NY
• Providers in East Patchogue, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; 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.