Active NPI
New England Orthotic & Prosthetic Systems, LLC
- Prosthetic/Orthotic Supplier
- Branford, CT
National Provider Identifier
1649273996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007228782 | Medicaid | CT |
National Provider Directory
National Provider DirectoryNPI 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.