NPIMap

Organization Active NPI

Performance Orthopedic Design, LLC

  • Prosthetic/Orthotic Supplier
  • Malone, NY
National Provider Identifier
1669040960
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
PERFORMANCE ORTHOPEDIC DESIGN, LLC
Practice address
70 Constable St FL 1
Malone, NY 12953-1324
Phone
(518) 521-3257
NPI assigned
Jun 14, 2021
Organization subpart
Yes
Parent organization
PERFORMANCE ORTHOPEDIC DESIGN LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Authorized official

Name
Jeffrey L Erenstone
Title
Owner, Cpo
Phone
(518) 523-2419

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

70 Constable St FL 1
Malone, NY 12953-1324

Mailing address

7 Old Military Rd
Lake Placid, NY 12946-1614
Phone (518) 523-2419

Other names 1

  • Mountain Orthotic & Prosthetic Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210806000823 NY DME Supplier - Prosthetic PersonnelDME Supplier - Pedorthic PersonnelDME Supplier - Certified Orth/Pros/PedorthistDME Supplier - Orthotic Personnel 5890990857 Practice locations: Malone, NY

Other NPIs with the same Medicare PAC ID 3

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
Performance Orthopedic Design LLC70 Constable St, Malone, NY 12953-1324(518) 324-6569 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Sep 10, 2007

National Provider Directory

National Provider Directory
Tax ID family
Performance Orthopedic Design LLC4 organizations share this tax ID, including this one
Part of
Performance Orthopedic Design LLC

Other organizations with this tax ID 3

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

Locations

7 Old Military Rd
Lake Placid, NY 12946
Phone (518) 523-2419

70 Constable St
#1
Malone, NY 12953
Phone (518) 324-6569

566 E Main St
Malone, NY 12953
Phone (518) 319-4199

294 Tom Miller Rd
Plattsburgh, NY 12901
Phone (518) 324-6569

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1669040960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 OLD MILITARY RD",
            "city": "LAKE PLACID",
            "state": "NY",
            "postal_code": "129461614",
            "telephone_number": "518-523-2419",
            "fax_number": "518-523-7192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 CONSTABLE ST FL 1",
            "city": "MALONE",
            "state": "NY",
            "postal_code": "129531324",
            "telephone_number": "518-521-3257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE ORTHOPEDIC DESIGN, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PERFORMANCE ORTHOPEDIC DESIGN LLC",
        "enumeration_date": "2021-06-14",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A",
        "authorized_official_last_name": "ERENSTONE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER, CPO",
        "authorized_official_telephone_number": "518-523-2419"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Orthotic & Prosthetic Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mountain Orthotic & Prosthetic Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Malone, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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.