Organization Active NPI

Pro2 LLC

  • Oxygen Equipment & Supplies (DME)
  • Orchard Park, NY
National Provider Identifier
1659444842
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
PRO2 LLC
Practice address
3586 California Rd
Orchard Park, NY 14127-1746
Phone
(716) 667-9600
Fax
(716) 972-0219
NPI assigned
Nov 16, 2006
Last updated
Jul 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Authorized official

Name
Peter Tallas
Title
Ceo
Phone
(781) 829-9813

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X NY Primary

Addresses

Primary practice location

3586 California Rd
Orchard Park, NY 14127-1746

Mailing address

3586 California Rd
Orchard Park, NY 14127-1746
Phone (716) 667-9600

Other identifiers 1

IdentifierTypeStateIssuer
02317788MedicaidNY

Other names 1

  • OJ Medtech, Inc. & PRO2LLC Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930033314 NY DME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 2062625007 Practice locations: Orchard Park, NY

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
Pro 2 LLC3586 California Rd, Orchard Park, NY 14127-1746(716) 667-9600 Continuous Positive Airway Pressure (CPAP) Devices|Nebulizer Equipment and/or Supplies|Oxygen Equipment and/or Supplies|Respiratory Assist Devices Accepts assignmentParticipating since Jan 1, 2003

National Provider Directory

National Provider Directory
Tax ID family
Pro2 LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1659444842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3586 CALIFORNIA RD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271746",
            "telephone_number": "716-667-9600",
            "fax_number": "716-972-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3586 CALIFORNIA RD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271746",
            "telephone_number": "716-667-9600",
            "fax_number": "716-972-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "TALLAS",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "781-829-9813"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02317788",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OJ Medtech, Inc. & PRO2LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Orchard Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.