Active NPI
Orthotic & Prosthetic Arts
- Prosthetic/Orthotic Supplier
- Orangeburg, NY
National Provider Identifier
1649919010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230417000520 | NY | DME Supplier - Certified Orth/Pros/Pedorthist | 5395110704 | Practice locations: Orangeburg, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Orthotic & Prosthetic Arts | 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 assignment |
National Provider Directory
National Provider DirectoryLocations
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.