Certified Orthopedic, Co. Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

CERTIFIED ORTHOPEDIC, CO. INC

Practice address

612 E Jericho Tpke
Huntington Station, NY 11746-7317

Phone

(718) 338-1904

Fax

(718) 258-1122

NPI assigned

Jan 30, 2006

Last updated

May 28, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Vincent J. Beauman, C.ONPI 1609186303

Title

Owner/President

Phone

(718) 338-1904

Specialties & licenses 1

Addresses

Other identifiers 1

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vincent John Beauman, C.O.

  • Prosthetic/Orthotic Supplier
  • Huntington Station, NY
  • NPI 1609186303
  NPD Authorized official

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716854400000",
    "number": "1649241324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 E JERICHO TPKE",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117467317",
            "telephone_number": "718-338-1904",
            "fax_number": "718-258-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 E JERICHO TPKE",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117467317",
            "telephone_number": "718-338-1904",
            "fax_number": "718-258-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERTIFIED ORTHOPEDIC, CO. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A",
        "authorized_official_last_name": "BEAUMAN",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "718-338-1904",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.O"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00320705",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Amie Caulfield, LMSW
• Liliam Ruth Cedeno-Nay, DDS
• Leslie Carmina Cespedes, M.D
• Marie Yvanne Cham
• Caroline Frances Champney, RN
• Bobby Chandok, MD
• Keisha M Charles, OT

• Prosthetic/Orthotic Supplier in Huntington Station, NY
• Providers in Huntington Station, NY by specialty
• Prosthetic/Orthotic Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.