Choice Limb & Brace

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

CHOICE LIMB & BRACE

Practice address

555A S Columbus Ave
Mount Vernon, NY 10550-4731

Phone

(914) 479-0743

Fax

(914) 479-1568

NPI assigned

Dec 6, 2005

Organization subpart

No

Name

Mr. Anthony J Squicciarini

Title

Cpo Cred

Phone

(914) 479-0743

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

• Mark F Kenny, CPO

  • Prosthetics Case Management
  • Dobbs Ferry, NY
  • NPI 1790789196
  NPD (past)

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

Medicare fee-for-service enrollment

Enrolled in NY

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 10, 2020.

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597017600000",
    "number": "1508840141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555A S COLUMBUS AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105504731",
            "telephone_number": "914-479-0743",
            "fax_number": "914-479-1568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555A S COLUMBUS AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105504731",
            "telephone_number": "914-479-0743",
            "fax_number": "914-479-1568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE LIMB & BRACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-06",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A",
        "authorized_official_last_name": "SQUICCIARINI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CPO CRED",
        "authorized_official_telephone_number": "914-479-0743",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NY",
            "license": "1230265",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "412358224",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "A2540663",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02215167",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chester Drugs Inc
• Sheleen A Chin-Green
• Nadia Claudine Chin, RN
• Chinyere Ofonagoro Physician PLLC
• Howard Choi, M.D., M.P.H.
• Shamima Chowdhury, MD
• Monica Christie
• Renee Christie
• Christopher Adubor Physician PC
• Debbie Marjorie Christopher

• All providers in Mount Vernon, NY
• Prosthetic/Orthotic Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; 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.