Active NPI
Pro2 LLC
- Oxygen Equipment & Supplies (DME)
- Orchard Park, NY
National Provider Identifier
1659444842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- 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, 2024
- 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
- Peter Tallas
- Title
- Ceo
- Phone
- (781) 829-9813
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02317788 | Medicaid | NY |
Other names 1
- OJ Medtech, Inc. & PRO2LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930033314 | NY | DME Supplier - Medical Supply Company | 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 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 |
|---|---|---|
| Pro 2 LLC | Continuous Positive Airway Pressure (CPAP) Devices|Nebulizer Equipment and/or Supplies|Oxygen Equipment and/or Supplies|Respiratory Assist Devices | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Pro2 LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Oxygen Equipment & Supplies (DME)
- Williamsville, NY
- NPI 1457024408
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.