Organization Active NPI

Orthotic & Prosthetic Arts

  • Prosthetic/Orthotic Supplier
  • Orangeburg, NY
National Provider Identifier
1649919010
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
ORTHOTIC & PROSTHETIC ARTS
Practice address
450 Western Hwy Ste a
Orangeburg, NY 10962-2188
Phone
(845) 459-0212
Fax
(845) 669-0152
NPI assigned
Jun 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Authorized official

Name
Altagracia Pena-Atristain, CPO
Title
Managing Member
Phone
(347) 232-1464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

450 Western Hwy Ste a
Orangeburg, NY 10962-2188

Mailing address

13 Cedar Ave
Orangeburg, NY 10962-2803
Phone (845) 459-0212

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address nidia@orthoticprostheticarts.com Direct
Direct Messaging Address nidia@orthoticprostheticarts.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230417000520 NY DME Supplier - Certified Orth/Pros/PedorthistDME Supplier - Medical Supply Company With Orthotic-Prosthetic 5395110704 Practice locations: Orangeburg, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Orthotic & Prosthetic Arts450 Western Hwy, Orangeburg, NY 10962-2188(845) 459-0212 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items Accepts assignmentParticipating since Nov 1, 2022

National Provider Directory

National Provider Directory

Locations

450 Western Hwy
Ste A
Orangeburg, NY 10962
Phone (845) 459-0212

NPI Registry JSON

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681948800000",
    "number": "1649919010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 CEDAR AVE",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "109622803",
            "telephone_number": "845-459-0212",
            "fax_number": "845-669-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 WESTERN HWY STE A",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "109622188",
            "telephone_number": "845-459-0212",
            "fax_number": "845-669-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOTIC & PROSTHETIC ARTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-02",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A",
        "authorized_official_last_name": "PENA-ATRISTAIN",
        "authorized_official_first_name": "ALTAGRACIA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "347-232-1464",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nidia@orthoticprostheticarts.com",
            "affiliation": "N",
            "endpointDescription": "Orthtoic & Prosthetic Arts, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "450 Western Hwy Ste A",
            "city": "Orangeburg",
            "state": "NY",
            "country_code": "US",
            "postal_code": "109622188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nidia@orthoticprostheticarts.com",
            "affiliation": "N",
            "endpointDescription": "Orthtoic & Prosthetic Arts, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "450 Western Hwy Ste A",
            "city": "Orangeburg",
            "state": "NY",
            "country_code": "US",
            "postal_code": "109622188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orangeburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.