JK Prosthetics and Orthotics

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

JK PROSTHETICS AND ORTHOTICS

Practice address

699 N Macquesten Pkwy
Mount Vernon, NY 10552-2121

Phone

(914) 699-2077

Fax

(914) 699-0676

NPI assigned

Nov 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Michael James Caputo

Title

Manager

Phone

(914) 699-2077

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

Locations

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230508800000",
    "number": "1619043932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 N MACQUESTEN PKWY",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105522121",
            "telephone_number": "914-699-2077",
            "fax_number": "914-699-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 N MACQUESTEN PKWY",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105522121",
            "telephone_number": "914-699-2077",
            "fax_number": "914-699-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JK PROSTHETICS AND ORTHOTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2008-12-29",
        "status": "A",
        "authorized_official_last_name": "CAPUTO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "914-699-2077",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• La Shawn Renee Jemison, R.N.
• Tawanna Jenkins, SERVICE CORDINATOR
• Carrease Jane Jennings
• Evelyn Jennings, LCSW
• Arlene A Jerez, M.S.
• Joe Williams LCSW, PLLC
• Coby Joe
• John P. Manfedi D.C. P.C. (Advanced Chiropractic Center)
• Brooke Dunne Johnson, LCSW
• Candice Johnson

• Customized Equipment (DME) in Mount Vernon, NY
• Providers in Mount Vernon, NY by specialty
• Customized Equipment (DME) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.