East Coast Orthotic & Prosthetic Corp..

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

EAST COAST ORTHOTIC & PROSTHETIC CORP..

Practice address

1100 Bedford St
Suite 280
Stamford, CT 06905-5305

Phone

(203) 504-8903

Fax

(203) 504-8905

NPI assigned

May 24, 2016

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 1

Addresses

Part of

East Coast Orthotic Prosthetic Corp

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541116800000",
    "number": "1417304080",
    "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": "1100 BEDFORD ST",
            "address_2": "SUITE 280",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055305",
            "telephone_number": "203-504-8903",
            "fax_number": "203-504-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COAST ORTHOTIC & PROSTHETIC CORP..",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAST COAST ORTHOTIC & PROSTHETIC CORP..",
        "enumeration_date": "2016-05-24",
        "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": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Stamford, CT
• Providers in Stamford, CT by specialty
• Prosthetic/Orthotic Supplier in Connecticut

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.