Organization Active NPI

Prohealth Care Associates, LLP

  • Durable Medical Equipment & Medical Supplies
  • Maspeth, NY
National Provider Identifier
1659774107
Registry record updated Aug 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
003307 Issued in NY
Legal business name
PROHEALTH CARE ASSOCIATES, LLP
Practice address
59-01 69TH Street
Maspeth, NY 11378
Phone
(718) 639-3338
Fax
(718) 639-5184
NPI assigned
Sep 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2018

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

Authorized official

Name
Mr. David J Cooper
Title
Managing Partner
Phone
(516) 622-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 003307 NY Primary

Addresses

Primary practice location

59-01 69TH Street
Maspeth, NY 11378

Mailing address

2800 Marcus Avenue
Lake Success, NY 11042
Phone (516) 622-6000

Other identifiers 2

IdentifierTypeStateIssuer
4930830001OtherNYDME
W2L251OtherNYMEDICARE PTAN

Other names 1

  • DellaCorte Footcare - A Division of ProHealth Care Associates, LLP Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534982400000",
    "number": "1659774107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 MARCUS AVENUE",
            "city": "LAKE SUCCESS",
            "state": "NY",
            "postal_code": "11042",
            "telephone_number": "516-622-6000",
            "fax_number": "516-608-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59-01 69TH STREET",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "11378",
            "telephone_number": "718-639-3338",
            "fax_number": "718-639-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROHEALTH CARE ASSOCIATES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-29",
        "last_updated": "2018-08-23",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "516-622-6000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "003307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "4930830001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "W2L251",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DellaCorte Footcare - A Division of ProHealth Care Associates, LLP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maspeth, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; 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.