Prosthetic Home Services Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

CP002723 Issued in DE

Legal business name

PROSTHETIC HOME SERVICES INC

Practice address

10654 Main St
Clarence, NY 14031-1704

Phone

(716) 759-9111

Fax

(716) 759-9112

NPI assigned

Nov 14, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Mark Zuchlewski, CPNPI 1366405979

Title

President

Phone

(716) 759-9111

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Prosthetic Hme Srv Inc Other name

Locations

Practitioners 1

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

• Mark Zuchlewski, CP, FAAOP

  • Prosthetist
  • Clarence, NY
  • NPI 1366405979
  NPD (past) Authorized official

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226448000000",
    "number": "1346420742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10654 MAIN ST",
            "city": "CLARENCE",
            "state": "NY",
            "postal_code": "140311704",
            "telephone_number": "716-759-9111",
            "fax_number": "716-759-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10654 MAIN ST",
            "city": "CLARENCE",
            "state": "NY",
            "postal_code": "140311704",
            "telephone_number": "716-759-9111",
            "fax_number": "716-759-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTHETIC HOME SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2008-11-12",
        "status": "A",
        "authorized_official_last_name": "ZUCHLEWSKI",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-759-9111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CP"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "DE",
            "license": "CP002723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02670313",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prosthetic Hme Srv Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Theresa Marie Peltier, OTR/L
• Maria Anna Pesany, FNP-BC
• Louis Patrick Pinto, MS, OTR/L
• Donna Polinski
• Evelyn Ruth Post-Dunn, OTR/L, ED.M
• Kelly Ann Richard, COTA
• Taine Ann Riggio, DPT
• Rite Aid of New York Inc
• Andrew Rogers, MD
• Justin Raymond Roulley, PHARMD

• Prosthetic/Orthotic Supplier in Clarence, NY
• Providers in Clarence, 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 Nov 12, 2008; 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.