Ortho Shoes Corp

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

CPED 3003 Issued in DE

Legal business name

ORTHO SHOES CORP

Practice address

10032 Queens Blvd
Forest Hills, NY 11375-2748

Phone

(718) 275-0018

NPI assigned

Nov 5, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Gabriyel Adzhiashvili

Title

President

Phone

(917) 304-6657

Specialties & licenses 1

Addresses

Tax ID family

Ortho Shoes Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Ortho Shoes Corp

  • Customized Equipment (DME)
  • Forest Hills, NY
  • NPI 1255668737
  NPD tax ID

Locations

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594166400000",
    "number": "1477880896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10032 QUEENS BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752748",
            "telephone_number": "718-275-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10032 QUEENS BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752748",
            "telephone_number": "718-275-0018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "98 36 QUEENS BLVD",
            "address_purpose": "LOCATION",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "11374",
            "country_code": "US",
            "telephone_number": "718-275-0018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORTHO SHOES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-05",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A",
        "authorized_official_last_name": "ADZHIASHVILI",
        "authorized_official_first_name": "GABRIYEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-304-6657",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "DE",
            "license": "CPED 3003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Jovana Orbegoso
• Ira Orgel, DDS
• Maria Fernanda Ortega Galvis
• Fabio Andres Ortega Palomino
• Ortho Shoes Corp
• Maria Gabriela Ortiz Fiallos, M.S ED
• Sandra Patricia Ortiz Quintero
• Yuri Andres Ortiz Velez
• Bonnie Lynn Ortiz
• Camilo Ortiz, PH.D.

• Durable Medical Equipment & Medical Supplies in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.