FDR Center for Prosthetics & Orthotics, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

FDR CENTER FOR PROSTHETICS & ORTHOTICS, INC.

Practice address

8 Ray Ave
Burlington, MA 01803-4721

Phone

(781) 273-5462

Fax

(781) 273-5468

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Paul Harney

Title

President

Phone

(603) 595-9255

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Northeastern Prosthetic & Brace Other name

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• FDR Center for Prosthetics & Orthotics, Inc.

  • Prosthetic/Orthotic Supplier
  • Nashua, NH
  • NPI 1053317560

  2163637224

  Same PAC ID

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

Tax ID family

FDR Center for Prosthetics Orthotics Inc2 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.

• FDR Center for Prosthetics & Orthotics, Inc.

  • Prosthetic/Orthotic Supplier
  • Nashua, NH
  • NPI 1053317560
  NPD tax ID

Locations

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228867200000",
    "number": "1518077239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 RAY AVE",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018034721",
            "telephone_number": "781-273-5462",
            "fax_number": "781-273-5468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 RAY AVE",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018034721",
            "telephone_number": "781-273-5462",
            "fax_number": "781-273-5468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FDR CENTER FOR PROSTHETICS & ORTHOTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-12-10",
        "status": "A",
        "authorized_official_last_name": "HARNEY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "603-595-9255",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1511068",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS MA",
            "identifier": "398654",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "661968",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northeastern Prosthetic & Brace",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jennifer Farese
• Durathun Farha, MD
• Kristen Eileen Farwell, M.D.
• Robert R. Faust III, MD
• William C Faust, M.D.
• Derek Feifke, O.D.
• Garry L Feldman, DDS
• Jamie R Feldman, PT, DPT
• Judith B Feldman, MD
• Fabrice Felix

• Prosthetic/Orthotic Supplier in Burlington, MA
• Providers in Burlington, MA by specialty
• Prosthetic/Orthotic Supplier in Massachusetts

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