Pro2 LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

PRO2 LLC

Practice address

1120 Youngs Rd
Williamsville, NY 14221-2695

Phone

(716) 923-2727

Fax

(716) 608-8777

NPI assigned

Jul 27, 2021

Organization subpart

Yes

Parent organization

PRO2, LLCAs reported in NPPES

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

Authorized official

Name

Peter Tallas

Title

Ceo

Phone

(781) 995-2243

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

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

• Pro2 LLC

  • Oxygen Equipment & Supplies (DME)
  • Williamsville, NY
  • NPI 1619590940

  2062625007

  Same PAC ID
• Pro2 LLC

  • Oxygen Equipment & Supplies (DME)
  • Orchard Park, NY
  • NPI 1659444842

  2062625007

  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

Pro2 LLC2 organizations share this tax ID, including this one

Part of

Pro2 LLC

Other organizations with this tax ID 1

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

• Pro2 LLC

  • Oxygen Equipment & Supplies (DME)
  • Orchard Park, NY
  • NPI 1659444842
  NPD tax ID

Locations

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1457024408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3586 CALIFORNIA RD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271746",
            "telephone_number": "716-667-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 YOUNGS RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142212695",
            "telephone_number": "716-923-2727",
            "fax_number": "716-608-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO2 LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRO2, LLC",
        "enumeration_date": "2021-07-27",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "TALLAS",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "781-995-2243"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Proscan Radiology Buffalo, PLLC

• Oxygen Equipment & Supplies (DME) in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Oxygen Equipment & Supplies (DME) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.