Organization Active NPI

Prosthetics by Nelson, Inc.

Doing business as Nelson Prosthetics and Orthotic Laboratory

  • Prosthetic/Orthotic Supplier
  • Jamestown, NY
National Provider Identifier
1699874743
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
PROSTHETICS BY NELSON, INC.
Doing business as
Nelson Prosthetics and Orthotic Laboratory
Practice address
310 Fairmont Avenue
Jamestown, NY 14701-4776
Phone
(716) 488-1001
Fax
(716) 488-1034
NPI assigned
Sep 22, 2006
Last updated
May 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Authorized official

Name
Mr. Daniel Wojcik, CPO
Title
President/Ceo
Phone
(716) 894-6666

Specialties & licenses 1

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

Addresses

Primary practice location

310 Fairmont Avenue
Jamestown, NY 14701-4776

Mailing address

2959 Genesee St
Cheektowaga, NY 14225-2653
Phone (716) 894-6666

Other identifiers 1

IdentifierTypeStateIssuer
02720116MedicaidNY

Other names 1

  • Nelson Prosthetics and Orthotic Laboratory Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930096174 NY DME Supplier - Prosthetic PersonnelDME Supplier - Orthotic Personnel 3779601299 Practice locations: Jamestown, NY

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
Prosthetics by Nelson Inc310 Fairmont Avenue, Jamestown, NY 14701-4776(716) 488-1001 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

216 E Main St
Ste 3
Batavia, NY 14020
Phone (585) 313-4557

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747612800000",
    "number": "1699874743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2959 GENESEE ST",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142252653",
            "telephone_number": "716-894-6666",
            "fax_number": "716-894-1858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 FAIRMONT AVENUE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147014776",
            "telephone_number": "716-488-1001",
            "fax_number": "716-488-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTHETICS BY NELSON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A",
        "authorized_official_last_name": "WOJCIK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "716-894-6666",
        "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": "02720116",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nelson Prosthetics and Orthotic Laboratory",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nelson Prosthetics and Orthotic Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jamestown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.