Organization Active NPI

Tonawanda Limb & Brace Inc

  • Prosthetist
  • Tonawanda, NY
National Provider Identifier
1477631646
Registry record updated Oct 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
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

Updated by the provider on Oct 9, 2008

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)CodeLicenseStatePrimary
OrthotistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 222Z00000X
ProsthetistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
2952043OtherNYIHA
00552947MedicaidNY
551054001OtherNYBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930070639 NY DME Supplier - Prosthetic PersonnelDME Supplier - Orthotic Personnel 5294853438 Practice locations: Tonawanda, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Tonawanda Limb & Brace Inc545 Delaware St, Tonawanda, NY 14150-5301(716) 695-1131 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.