Organization Active NPI

New England Orthotic & Prosthetic Systems, LLC

  • Prosthetic/Orthotic Supplier
  • Branford, CT
National Provider Identifier
1649273996
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
NEW ENGLAND ORTHOTIC & PROSTHETIC SYSTEMS, LLC
Practice address
469 West Main Street
Sutie 101
Branford, CT 06405-3400
Phone
(203) 488-8588
Fax
(203) 488-0844
NPI assigned
May 31, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

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

Authorized official

Name
Mr. David Mahler, CPO
Title
Ceo
Phone
(203) 483-8488

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

469 West Main Street
Sutie 101
Branford, CT 06405-3400

Mailing address

16 Commercial St
Branford, CT 06405-2801
Phone (203) 483-8488

Other identifiers 1

IdentifierTypeStateIssuer
007228782MedicaidCT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483488000000",
    "number": "1649273996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 COMMERCIAL ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064052801",
            "telephone_number": "203-483-8488",
            "fax_number": "203-483-6085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 WEST MAIN STREET",
            "address_2": "SUTIE 101",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053400",
            "telephone_number": "203-488-8588",
            "fax_number": "203-488-0844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENGLAND ORTHOTIC & PROSTHETIC SYSTEMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2017-01-04",
        "status": "A",
        "authorized_official_last_name": "MAHLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "203-483-8488",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007228782",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Branford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; 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.