Active NPI
Maxcare DME Inc
Doing business as Icon Ortho Footwear
- Durable Medical Equipment & Medical Supplies
- Flushing, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MAXCARE DME INC
- Doing business as
- Icon Ortho Footwear
- Practice address
- 13668 Roosevelt Ave Ste SC3B
Flushing, NY 11354-5510 - Phone
- (718) 587-9862
- NPI assigned
- Apr 7, 2025
- Last updated
- Jul 2, 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
- Ying Chen
- Title
- President
- Phone
- (917) 968-5109
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
13668 Roosevelt Ave Ste SC3B
Flushing, NY 11354-5510
Mailing address
13668 Roosevelt Ave Ste SC3B
Flushing, NY 11354-5510
Phone (718) 587-9862
Other names 1
- ICON ORTHO FOOTWEAR
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250929001313 | NY | DME Supplier - Medical Supply Company | 1052817145 | Practice locations: Flushing, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Maxcare DME Inc | Pneumatic Compression Devices and/or Supplies|Canes and/or Crutches|Walkers|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Surgical Dressings|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatm… | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
13668 Roosevelt Ave
Ste SC3B
Flushing, NY 11354
Phone (718) 587-9862
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pedorthist
- Flushing, NY
- NPI 1174329171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1751414400000",
"number": "1427842210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13668 ROOSEVELT AVE STE SC3B",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113545510",
"telephone_number": "718-587-9862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13668 ROOSEVELT AVE STE SC3B",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113545510",
"telephone_number": "718-587-9862"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAXCARE DME INC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-07",
"last_updated": "2025-07-02",
"certification_date": "2025-07-02",
"status": "A",
"authorized_official_last_name": "CHEN",
"authorized_official_first_name": "YING",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "917-968-5109"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ICON ORTHO FOOTWEAR",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; 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.