Organization Active NPI

Kmcpedorthics Inc

  • Durable Medical Equipment & Medical Supplies
  • Woodhaven, NY
National Provider Identifier
1548354590
Registry record updated Nov 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
KMCPEDORTHICS INC
Practice address
8620 Jamaica Ave
Woodhaven, NY 11421
Phone
(718) 441-5621
Fax
(718) 441-5622
NPI assigned
Oct 3, 2006
Organization subpart
Yes
Parent organization
KMCPEDORTHICS INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 17, 2017

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

Authorized official

Name
Kim Marie Castelli, CPED COF
Title
Owner Pres
Phone
(718) 441-5621

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OrthotistGroup: 193400000X SINGLE SPECIALTY GROUP 222Z00000X 1148 NY
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

8620 Jamaica Ave
Woodhaven, NY 11421

Mailing address

92 Hartman Hill Rd
Huntington, NY 11743
Phone (718) 441-5621

Other names 1

  • Castle O & P Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510876800000",
    "number": "1548354590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 HARTMAN HILL RD",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "11743",
            "telephone_number": "718-441-5621",
            "fax_number": "718-441-5622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8620 JAMAICA AVE",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "11421",
            "telephone_number": "718-441-5621",
            "fax_number": "718-441-5622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMCPEDORTHICS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KMCPEDORTHICS INC.",
        "enumeration_date": "2006-10-03",
        "last_updated": "2017-11-17",
        "status": "A",
        "authorized_official_last_name": "CASTELLI",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER PRES",
        "authorized_official_telephone_number": "718-441-5621",
        "authorized_official_credential": "CPED COF"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthotist",
            "state": "NY",
            "license": "1148",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Castle O & P",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodhaven, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2017; 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.