Prosthetic Professionals, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

CPO02645 Issued in NY

Legal business name

PROSTHETIC PROFESSIONALS, INC.

Practice address

355 Ovington Ave
Suite 104
Brooklyn, NY 11209-1483

Phone

(718) 748-4880

Fax

(718) 748-4884

NPI assigned

Aug 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Tulio Rivera, CPO

Title

Owner

Phone

(718) 748-4880

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1659383032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 OVINGTON AVE",
            "address_2": "SUITE 104",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112091483",
            "telephone_number": "718-748-4880",
            "fax_number": "718-748-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 OVINGTON AVE",
            "address_2": "SUITE 104",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112091483",
            "telephone_number": "718-748-4880",
            "fax_number": "718-748-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTHETIC PROFESSIONALS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "TULIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-748-4880",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "CPO02645",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NY",
            "license": "CPO02645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02706090",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Everton A. Prospere, M.D.
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• Michelle Pross
• Prost Data Inc
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• Whitney Protain
• Protech DME Inc
• Protech Pharmacy LLC
• Protection Physical Therapy PC

• Prosthetic/Orthotic Supplier in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Prosthetic/Orthotic Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.