Organization Active NPI

Empire Prosthetic & Orthotic Designs LLC

  • Prosthetic/Orthotic Supplier
  • New York, NY
National Provider Identifier
1679954127
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
EMPIRE PROSTHETIC & ORTHOTIC DESIGNS LLC
Practice address
136 E 57TH St FL 1501
New York, NY 10022-2938
Phone
(212) 243-2972
Fax
(212) 419-9458
NPI assigned
Jun 10, 2015
Last updated
Jun 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Authorized official

Name
Mr. Garrett Pascavage, CPONPI 1003930447
Title
Managing Member
Phone
(212) 243-2972

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

136 E 57TH St FL 1501
New York, NY 10022-2938

Mailing address

34 Lovell Dr
Wanaque, NJ 07465-1043
Phone (212) 243-2972

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150928000358 NY DME Supplier - Prosthetic PersonnelDME Supplier - Orthotic Personnel 0042528903 Practice locations: New York, NY

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
Empire Prosthetic & Orthotic Design136 E 57TH St, New York, NY 10022-2938(212) 243-2972 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses Accepts assignmentParticipating since Aug 13, 2015

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1433894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750377600000",
    "number": "1679954127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 LOVELL DR",
            "city": "WANAQUE",
            "state": "NJ",
            "postal_code": "074651043",
            "telephone_number": "212-243-2972",
            "fax_number": "212-419-9486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 E 57TH ST FL 1501",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222938",
            "telephone_number": "212-243-2972",
            "fax_number": "212-419-9458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRE PROSTHETIC & ORTHOTIC DESIGNS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-10",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A",
        "authorized_official_last_name": "PASCAVAGE",
        "authorized_official_first_name": "GARRETT",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "212-243-2972",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.