Ortho-Bionics Laboratory, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

ORTHO-BIONICS LABORATORY, INC.

Practice address

11442 Rockaway Blvd
South Ozone Park, NY 11420-1928

Phone

(718) 845-5572

NPI assigned

Jan 25, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Raymond Marx, CPO

Title

President

Phone

(718) 845-5572

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669442430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11442 ROCKAWAY BLVD",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114201928",
            "telephone_number": "718-845-5572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11442 ROCKAWAY BLVD",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114201928",
            "telephone_number": "718-845-5572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHO-BIONICS LABORATORY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARX",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-845-5572",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00328496",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Anne Orellana, L.AC
• Alyssa Christina Orgera
• Jacqueline Dawn Oricchio, DPT
• Nicholas F Oricchio, R.P.T.
• Orly Y Costo
• Stella Osagie-Omogun
• Manpreet Pabla, LPN
• Yasha Pandohie, OTR/L
• Charles J Pantina, R.PH.
• Shaquetta A Pantry, LPN

• Prosthetic/Orthotic Supplier in South Ozone Park, NY
• Providers in South Ozone Park, NY by specialty
• Prosthetic/Orthotic Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.