Active NPI
Orthopedic Treatment Facility, Inc.
- Prosthetic/Orthotic Supplier
- Woodside, NY
National Provider Identifier
1427151448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- ORTHOPEDIC TREATMENT FACILITY, INC.
- Practice address
- 69-14 Queens Blvd
Woodside, NY 11377-4462 - Phone
- (718) 898-7326
- Fax
- (718) 898-2160
- NPI assigned
- Sep 6, 2006
- Last updated
- Mar 17, 2025
- 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
- Gary Marano, C.P.O.
- Title
- President
- Phone
- (718) 898-7326
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
69-14 Queens Blvd
Woodside, NY 11377-4462
Mailing address
6914 Queens Blvd
Woodside, NY 11377-4462
Phone (718) 898-7326
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930037548 | NY | DME Supplier - Pedorthic Personnel | 0648397158 | Practice locations: Woodside, NY |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Palisades Park, NJ
- NPI 1467502260
Member Of
Member organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Palisades Park, NJ
- NPI 1467502260
Member Of
Locations
4906 Queens Blvd
Woodside, NY 11377
Phone (718) 898-7326
6914 Queens Blvd
Woodside, NY 11377
Phone (718) 898-7326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742169600000",
"number": "1427151448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6914 QUEENS BLVD",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113774462",
"telephone_number": "718-898-7326",
"fax_number": "718-898-2160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69-14 QUEENS BLVD",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113774462",
"telephone_number": "718-898-7326",
"fax_number": "718-898-2160"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHOPEDIC TREATMENT FACILITY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-06",
"last_updated": "2025-03-17",
"certification_date": "2025-03-13",
"status": "A",
"authorized_official_last_name": "MARANO",
"authorized_official_first_name": "GARY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-898-7326",
"authorized_official_credential": "C.P.O."
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.