Active NPI
Orthopedic Arts Laboratory, Inc
- Durable Medical Equipment & Medical Supplies
- Brooklyn, NY
National Provider Identifier
1629006549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- N/A
- Legal business name
- ORTHOPEDIC ARTS LABORATORY, INC
- Practice address
- 141 Atlantic Ave
Brooklyn, NY 11201-5516 - Phone
- (718) 858-2400
- Fax
- (718) 858-9258
- NPI assigned
- Jun 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Stephan Manucharian, CP
- Title
- Clinical Director
- Phone
- (718) 858-2400
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | N/A | Primary |
Addresses
Primary practice location
141 Atlantic Ave
Brooklyn, NY 11201-5516
Mailing address
141 Atlantic Ave
Brooklyn, NY 11201-5516
Phone (718) 858-2400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01998558 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930078911 | NY | DME Supplier - Prosthetic Personnel | 7012038409 | Practice locations: Brooklyn, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Orthopedic Arts Laboratory Inc | Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom | Accepts assignment |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1427155200000",
"number": "1629006549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 ATLANTIC AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112015516",
"telephone_number": "718-858-2400",
"fax_number": "718-858-9258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 ATLANTIC AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112015516",
"telephone_number": "718-858-2400",
"fax_number": "718-858-9258"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHOPEDIC ARTS LABORATORY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-29",
"last_updated": "2015-03-24",
"status": "A",
"authorized_official_last_name": "MANUCHARIAN",
"authorized_official_first_name": "STEPHAN",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "718-858-2400",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CP"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": "N/A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01998558",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; 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.