Manchester Orthopedic Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MANCHESTER ORTHOPEDIC INC.

Practice address

5442 Frontage Rd Ste 130
Forest Park, GA 30297-2526

Phone

(718) 925-2922

NPI assigned

Feb 14, 2023

Last updated

Feb 14, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Abraham Teitelbaum

Title

Ceo

Phone

(718) 925-2922

Specialties & licenses 1

Addresses

Tax ID family

Manchester Orthopedic Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Manchester Orthopedic Inc.

  • Customized Equipment (DME)
  • Airmont, NY
  • NPI 1982881983
  NPD tax ID

Locations

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.

• Mark G Manchester, CO2015

  • Specialist
  • Middletown, NY
  • NPI 1578653085
  NPD

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1689371270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5442 FRONTAGE RD STE 130",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302972526",
            "telephone_number": "718-925-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5442 FRONTAGE RD STE 130",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302972526",
            "telephone_number": "718-925-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANCHESTER ORTHOPEDIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A",
        "authorized_official_last_name": "TEITELBAUM",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-925-2922"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vinh Mai, RPH
• Main Street Dental Group PC
• Amanda Malayter
• Claudine Moma Malonga, DNP, C-PNP-PC
• Crystal Mercia Malvoisin, M.D.
• Arlene Martin
• Philomen Anabelle McFee, RN
• April McGahee, CNA
• Tanea McKee, LMFT
• Kim McKinney, MPA

• Durable Medical Equipment & Medical Supplies in Forest Park, GA
• Providers in Forest Park, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.