Organization Active NPI

TMR Orthotic & Prosthetic Services Inc.

  • Prosthetic/Orthotic Supplier
  • Astoria, NY
National Provider Identifier
1619903044
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
TMR ORTHOTIC & PROSTHETIC SERVICES INC.
Practice address
2418 Ditmars Blvd
Astoria, NY 11105-3338
Phone
(718) 726-8477
Fax
(718) 545-3394
NPI assigned
Jun 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2008

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

Authorized official

Name
Mr. Richard Conceicao, CPO
Title
President
Phone
(718) 726-8477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

2418 Ditmars Blvd
Astoria, NY 11105-3338

Mailing address

2418 Ditmars Blvd
Astoria, NY 11105-3338
Phone (718) 726-8477

Other identifiers 1

IdentifierTypeStateIssuer
00678464MedicaidNY

National Provider Directory

National Provider Directory

Locations

2418 Ditmars Blvd
Astoria, NY 11105
Phone (718) 726-8477

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1619903044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2418 DITMARS BLVD",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111053338",
            "telephone_number": "718-726-8477",
            "fax_number": "718-545-3394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2418 DITMARS BLVD",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111053338",
            "telephone_number": "718-726-8477",
            "fax_number": "718-545-3394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TMR ORTHOTIC & PROSTHETIC SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "CONCEICAO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-726-8477",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00678464",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.