Active NPI
Lorelei Orthotics & Prosthetics, Inc.
- Prosthetic/Orthotic Supplier
- Maywood, NJ
National Provider Identifier
1689843815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- LORELEI ORTHOTICS & PROSTHETICS, INC.
- Practice address
- 63 Lenox Ave
Maywood, NJ 07607-1139 - Phone
- (201) 226-0138
- Fax
- (212) 727-0844
- NPI assigned
- Feb 21, 2008
- Last updated
- Dec 3, 2013
- Organization subpart
- Yes
- Parent organization
- LORELEI ORTHOTICS & PROSTHETICS, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Matthew J Westlake, C.O.
- Title
- Owner
- Phone
- (212) 727-2011
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
63 Lenox Ave
Maywood, NJ 07607-1139
Mailing address
19 W 21St St
Suite 204
New York, NY 10010-6805
Phone (212) 727-2011
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01091818 | Medicaid | NY | |
| 1046705 | Medicaid | NJ |
Other names 1
- New Jersey Office
National Provider Directory
National Provider Directory- Part of
- Lorelei Orthotics Prosthetics Inc
Locations
19 W 21st St
Rm 204
New York, NY 10010
Phone (212) 727-2011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1386028800000",
"number": "1689843815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 W 21ST ST",
"address_2": "SUITE 204",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100106805",
"telephone_number": "212-727-2011",
"fax_number": "212-727-0844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63 LENOX AVE",
"city": "MAYWOOD",
"state": "NJ",
"postal_code": "076071139",
"telephone_number": "201-226-0138",
"fax_number": "212-727-0844"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LORELEI ORTHOTICS & PROSTHETICS, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LORELEI ORTHOTICS & PROSTHETICS, INC.",
"enumeration_date": "2008-02-21",
"last_updated": "2013-12-03",
"status": "A",
"authorized_official_last_name": "WESTLAKE",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "212-727-2011",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "C.O."
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01091818",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1046705",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "New Jersey Office",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Maywood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.