East Coast Orthotic & Prosthetic Corp.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

EAST COAST ORTHOTIC & PROSTHETIC CORP.

Practice address

161 Fort Washington Ave
Room # 236
New York, NY 10032-3729

Phone

(212) 305-1575

Fax

(212) 305-1208

NPI assigned

Jul 8, 2009

Last updated

Nov 2, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

EAST COAST ORTHOTIC & PROSTHETIC CORP.As reported in NPPES

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

Authorized official

Name

Mr. Lawrence J Benenati

Title

President

Phone

(631) 392-2228

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• East Coast Orthotic & Prosthetic Corp

  • Prosthetic/Orthotic Supplier
  • Hawthorne, NY
  • NPI 1083843312

  1153442009

  Same PAC ID
• East Coast Orthotic & Prosthetic Corp

  • Prosthetic/Orthotic Supplier
  • Buffalo, NY
  • NPI 1730318072

  1153442009

  Same PAC ID
• East Coast Orthotic & Prosthetic Corp.

  • Prosthetic/Orthotic Supplier
  • Deer Park, NY
  • NPI 1699850073

  1153442009

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

East Coast Orthotic Prosthetic Corp4 organizations share this tax ID, including this one

Part of

East Coast Orthotic Prosthetic Corp

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• East Coast Orthotic & Prosthetic Corp

  • Prosthetic/Orthotic Supplier
  • Hawthorne, NY
  • NPI 1083843312
  NPD tax ID
• East Coast Orthotic & Prosthetic Corp.

  • Prosthetic/Orthotic Supplier
  • White Plains, NY
  • NPI 1386040194
  NPD tax ID
• East Coast Orthotic & Prosthetic Corp.

  • Prosthetic/Orthotic Supplier
  • Deer Park, NY
  • NPI 1699850073
  NPD tax ID

Locations

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541116800000",
    "number": "1356570675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 BURT DR",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117295701",
            "telephone_number": "631-254-5577",
            "fax_number": "631-254-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 FORT WASHINGTON AVE",
            "address_2": "ROOM # 236",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323729",
            "telephone_number": "212-305-1575",
            "fax_number": "212-305-1208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COAST ORTHOTIC & PROSTHETIC CORP.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAST COAST ORTHOTIC & PROSTHETIC CORP.",
        "enumeration_date": "2009-07-08",
        "last_updated": "2018-11-02",
        "status": "A",
        "authorized_official_last_name": "BENENATI",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-392-2228",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01749013",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• East Drive Pharmacy, Inc.
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• Prosthetic/Orthotic Supplier in New York, NY
• Providers in New York, 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 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.