Organization Active NPI

Center for Prosthetics and

  • Orthotist
  • Bronx, NY
National Provider Identifier
1538315403
Registry record updated Jul 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
Legal business name
CENTER FOR PROSTHETICS AND
Practice address
5650 Mosholu Ave
Bronx, NY 10471
Phone
(914) 715-6010
Fax
(718) 796-7180
NPI assigned
Aug 12, 2008
Last updated
Jul 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2012

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

Authorized official

Name
John K Paulose, ORTHOTIST
Title
Director
Phone
(914) 715-6010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X NU Primary

Addresses

Primary practice location

5650 Mosholu Ave
Bronx, NY 10471

Mailing address

5674 Mosholu Ave
Bronx, NY 10471
Phone (914) 715-6010

National Provider Directory

National Provider Directory

Locations

5650 Mosholu Ave
Bronx, NY 10471
Phone (914) 715-6010

5674 Mosholu Ave
Bronx, NY 10471
Phone (203) 300-1112

NPI Registry JSON

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342137600000",
    "number": "1538315403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5674 MOSHOLU AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10471",
            "telephone_number": "914-715-6010",
            "fax_number": "718-796-7180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5650 MOSHOLU AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10471",
            "telephone_number": "914-715-6010",
            "fax_number": "718-796-7180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR PROSTHETICS AND",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-12",
        "last_updated": "2012-07-13",
        "status": "A",
        "authorized_official_last_name": "PAULOSE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "914-715-6010",
        "authorized_official_credential": "ORTHOTIST"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2012; 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.