Organization Active NPI

G F H Orthotic and Prosthetic Laboratories Inc

  • Prosthetist
  • Bohemia, NY
National Provider Identifier
1356490536
Registry record updated May 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
Legal business name
G F H ORTHOTIC AND PROSTHETIC LABORATORIES INC
Practice address
161 Keyland CT
Bohemia, NY 11716-2621
Phone
(631) 467-3725
Fax
(631) 467-3512
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2011

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

Authorized official

Name
Mr. Glenn F Hutnick, CPO
Title
Certified Prosthetist Orthotist Own
Phone
(631) 467-3725

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OrthotistGroup: 193200000X MULTI-SPECIALTY GROUP 222Z00000X
ProsthetistGroup: 193200000X MULTI-SPECIALTY GROUP 224P00000X Primary

Addresses

Primary practice location

161 Keyland CT
Bohemia, NY 11716-2621

Mailing address

161 Keyland CT
Bohemia, NY 11716-2621
Phone (631) 467-3725

Other identifiers 1

IdentifierTypeStateIssuer
00435901MedicaidNY

National Provider Directory

National Provider Directory

Locations

161 Keyland Ct
Bohemia, NY 11716
Phone (631) 467-3725

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305158400000",
    "number": "1356490536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 KEYLAND CT",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117162621",
            "telephone_number": "631-467-3725",
            "fax_number": "631-467-3512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 KEYLAND CT",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117162621",
            "telephone_number": "631-467-3725",
            "fax_number": "631-467-3512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G F H ORTHOTIC AND PROSTHETIC LABORATORIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2011-05-12",
        "status": "A",
        "authorized_official_last_name": "HUTNICK",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CERTIFIED PROSTHETIST ORTHOTIST OWN",
        "authorized_official_telephone_number": "631-467-3725",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00435901",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bohemia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; 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.