Pro2 LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

PRO2 LLC

Practice address

5759 Main St Ste 200
Williamsville, NY 14221-5565

Phone

(716) 667-9600

Fax

(716) 972-0219

NPI assigned

May 21, 2020

Organization subpart

No

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

Authorized official

Name

Peter Tallas

Title

Ceo

Phone

(781) 829-9813

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

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

• Pro2 LLC

  • Oxygen Equipment & Supplies (DME)
  • Williamsville, NY
  • NPI 1457024408

  2062625007

  Same PAC ID
• Pro2 LLC

  • Oxygen Equipment & Supplies (DME)
  • Orchard Park, NY
  • NPI 1659444842

  2062625007

  Same PAC ID

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1619590940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3586 CALIFORNIA RD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271746",
            "telephone_number": "716-667-9600",
            "fax_number": "716-972-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5759 MAIN ST STE 200",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215565",
            "telephone_number": "716-667-9600",
            "fax_number": "716-972-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-21",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "TALLAS",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "781-829-9813"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primary Care of Western New York LLP
• Carla Primeau
• Sharon Prior
• Prism Health & Fitness
• Pro2 LLC
• Procair Inc
• Jennifer Proctor, MD
• Cassandra Prong, ANP-BC
• Proscan Radiology Buffalo, PLLC
• Vincent Prospero, M.S., P.T.

• Oxygen Equipment & Supplies (DME) in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Oxygen Equipment & Supplies (DME) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.