Organization Active NPI

Greater Rochester Prosthetics & Orthotics Inc

  • Prosthetic/Orthotic Supplier
  • Rochester, NY
National Provider Identifier
1467635433
Registry record updated Nov 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
GREATER ROCHESTER PROSTHETICS & ORTHOTICS INC
Practice address
1576 Long Pond Rd
Rochester, NY 14626-4119
Phone
(585) 436-7550
Fax
(585) 436-4022
NPI assigned
Dec 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2010

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

Authorized official

Name
Peter J Pistilli, CPONPI 1639209992
Title
Owner
Phone
(585) 436-7550

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)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

1576 Long Pond Rd
Rochester, NY 14626-4119

Mailing address

1576 Long Pond Rd
Rochester, NY 14626-5197
Phone (585) 436-7550

Other identifiers 1

IdentifierTypeStateIssuer
01459943MedicaidNY

National Provider Directory

National Provider Directory

Locations

1280 Scottsville Rd
Ste 50
Rochester, NY 14624
Phone (585) 436-7550

1576 Long Pond Rd
Rochester, NY 14626
Phone (585) 436-7550

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290556800000",
    "number": "1467635433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1576 LONG POND RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146265197",
            "telephone_number": "585-436-7550",
            "fax_number": "585-436-4022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1576 LONG POND RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264119",
            "telephone_number": "585-436-7550",
            "fax_number": "585-436-4022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER ROCHESTER PROSTHETICS & ORTHOTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2010-11-24",
        "status": "A",
        "authorized_official_last_name": "PISTILLI",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-436-7550",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01459943",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2010; 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.