Active NPI
Prohealth Care Associates, LLP
- Durable Medical Equipment & Medical Supplies
- Maspeth, NY
National Provider Identifier
1659774107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 003307
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4930830001 | Other | NY | DME |
| W2L251 | Other | NY | MEDICARE PTAN |
Other names 1
- DellaCorte Footcare - A Division of ProHealth Care Associates, LLP
National Provider Directory
National Provider DirectoryNPI 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.