Diversified Orthotics

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

DIVERSIFIED ORTHOTICS

Practice address

3146 E Tremont Ave
Bronx, NY 10461-5706

Phone

(718) 409-6280

Fax

(718) 409-4110

NPI assigned

Apr 16, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Louis Alfred Rose, DO

Title

Orthotist

Phone

(718) 409-6280

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633564800000",
    "number": "1649444100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3146 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104615706",
            "telephone_number": "718-409-6280",
            "fax_number": "718-409-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3146 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104615706",
            "telephone_number": "718-409-6280",
            "fax_number": "718-409-4110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3058 E Tremont Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104615726",
            "country_code": "US",
            "telephone_number": "718-409-6280",
            "fax_number": "718-409-4110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIVERSIFIED ORTHOTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "ALFRED",
        "authorized_official_title_or_position": "ORTHOTIST",
        "authorized_official_telephone_number": "718-409-6280",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01488857",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "0870060001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shirley Disu, PSYD, NC-PSYA
• Giana Ditonto
• Katherine A Ditren
• Laura J Ditusa, AU.D.
• Diverse Voices Speech Language Pathology PLLC
• Divine Health Medical Supplies, Inc.
• Divinity Physician Services PLLC
• Divino Nino Pediatrics
• Divino Pharmacy Corp
• Joseph Divito, MD

• Customized Equipment (DME) in Bronx, NY
• Providers in Bronx, NY by specialty
• Customized Equipment (DME) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.