Active NPI
Tonawanda Limb & Brace Inc
- Prosthetist
- Tonawanda, NY
National Provider Identifier
1477631646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- Legal business name
- TONAWANDA LIMB & BRACE INC
- Practice address
- 545 Delaware Street
Tonawanda, NY 14150 - Phone
- (716) 695-1131
- Fax
- (716) 695-0016
- NPI assigned
- Nov 2, 2006
- 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
- Mr. Richard Catipovic, CERTIFIED PROSTHESIS
- Title
- Company President
- Phone
- (716) 695-1131
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | |||
| Prosthetist | 224P00000X | Primary |
Addresses
Primary practice location
545 Delaware Street
Tonawanda, NY 14150
Mailing address
545 Delaware Street
Tonawanda, NY 14150
Phone (716) 695-1131
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2952043 | Other | NY | IHA |
| 00552947 | Medicaid | NY | |
| 551054001 | Other | NY | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930070639 | NY | DME Supplier - Prosthetic Personnel | 5294853438 | Practice locations: Tonawanda, 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 |
|---|---|---|
| Tonawanda Limb & Brace Inc | Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
545 Delaware St
Tonawanda, NY 14150
Phone (716) 695-5780
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Kenmore, NY
- NPI 1154365559
-
- Specialist
- Tonawanda, NY
- NPI 1720045339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1223510400000",
"number": "1477631646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 DELAWARE STREET",
"city": "TONAWANDA",
"state": "NY",
"postal_code": "14150",
"telephone_number": "716-695-1131",
"fax_number": "716-695-0016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 DELAWARE STREET",
"city": "TONAWANDA",
"state": "NY",
"postal_code": "14150",
"telephone_number": "716-695-1131",
"fax_number": "716-695-0016"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TONAWANDA LIMB & BRACE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-02",
"last_updated": "2008-10-09",
"status": "A",
"authorized_official_last_name": "CATIPOVIC",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "COMPANY PRESIDENT",
"authorized_official_telephone_number": "716-695-1131",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CERTIFIED PROSTHESIS"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Orthotist",
"state": null,
"license": null,
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Prosthetist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHA",
"identifier": "2952043",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00552947",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "551054001",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tonawanda, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; 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.