New York Orthotic and Prosthetic

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

859 Issued in NY

Legal business name

NEW YORK ORTHOTIC AND PROSTHETIC

Practice address

505 Northern Blvd
Great Neck, NY 11021-5101

Phone

(516) 466-6751

NPI assigned

Nov 2, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Ira Miller, CPO,FAAOP

Title

President

Phone

(516) 466-6751

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

New York Orthotic and Prosthetic2 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.

• New York Orthotic and Prosthetic

  • Prosthetic/Orthotic Supplier
  • New York, NY
  • NPI 1093890832
  NPD tax ID

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1508944885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 NORTHERN BLVD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215101",
            "telephone_number": "516-466-6751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 NORTHERN BLVD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215101",
            "telephone_number": "516-466-6751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK ORTHOTIC AND PROSTHETIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "IRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-466-6751",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO,FAAOP"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NY",
            "license": "859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00737884",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• New York University
• Joseph William Newirth, PH.D.
• Marisa Newman, OTR/L

• Prosthetic/Orthotic Supplier in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Prosthetic/Orthotic Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.