Organization Active NPI

Harrison Orthotic Services Inc

  • Orthotist
  • Bayside, NY
National Provider Identifier
1376697771
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
Legal business name
HARRISON ORTHOTIC SERVICES INC
Practice address
29 01 216TH Street
Bayside, NY 11360
Phone
(718) 225-6517
Fax
(718) 225-6517
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. James Harrison, CO
Title
President
Phone
(718) 225-6517

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OrthotistGroup: 193400000X SINGLE SPECIALTY GROUP 222Z00000X Primary

Addresses

Primary practice location

29 01 216TH Street
Bayside, NY 11360

Mailing address

29 01 216TH Street
Bayside, NY 11360
Phone (718) 225-6517

Other identifiers 1

IdentifierTypeStateIssuer
01728569MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376697771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 01 216TH STREET",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "11360",
            "telephone_number": "718-225-6517",
            "fax_number": "718-225-6517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 01 216TH STREET",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "11360",
            "telephone_number": "718-225-6517",
            "fax_number": "718-225-6517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRISON ORTHOTIC SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-225-6517",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CO"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01728569",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.