Active NPI
G F H Orthotic and Prosthetic Laboratories Inc
- Prosthetist
- Bohemia, NY
National Provider Identifier
1356490536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | |||
| Prosthetist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00435901 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
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.