Stafford Labs Orthotics and Prosthetics, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

STAFFORD LABS ORTHOTICS AND PROSTHETICS, INC.

Practice address

189 Monhagen Ave.
Middletown, NY 10940

Phone

(845) 692-5227

Fax

(845) 692-5244

NPI assigned

Feb 13, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberly C Thompson, CPO

Title

Pres.

Phone

(845) 692-5227

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

Locations

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489104000000",
    "number": "1699748244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1004",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "10924",
            "telephone_number": "845-692-5227",
            "fax_number": "845-692-5244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 MONHAGEN AVE.",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "10940",
            "telephone_number": "845-692-5227",
            "fax_number": "845-692-5244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAFFORD LABS ORTHOTICS AND PROSTHETICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-13",
        "last_updated": "2017-03-10",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "845-692-5227",
        "authorized_official_name_prefix": "Mrs.",
        "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": "01478986",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7830602",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Saidapet Sridhar, D.D.S
• Carrie Ann St Amand, RPA-C
• St Teresas Nursing Home Inc
• Matthew Staback, DPT
• Melissa Ann Stack, PSYD
• Kweon Stambaugh, M.D.
• Elisabeth Stampfel
• Stanley C. Giudici, M.D., M.a.R ., P.C.
• Stanley C. Giudici, M.D., M.a.R., P.C.
• Ahxia Leigh Stanton, LMHC

• Prosthetic/Orthotic Supplier in Middletown, NY
• Providers in Middletown, 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 Mar 10, 2017; 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.