Organization Active NPI

Orthotic Consultants Inc

  • Prosthetic/Orthotic Supplier
  • New York, NY
National Provider Identifier
1700866555
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
ORTHOTIC CONSULTANTS INC
Practice address
119 W 57TH St
Suite 1514
New York, NY 10019-2303
Phone
(212) 315-2320
Fax
(212) 262-1656
NPI assigned
Jan 18, 2006
Last updated
Oct 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Authorized official

Name
Isabelle Erica Rauch, ABC CERT ORTHOTIST
Title
Chief Admin Officer
Phone
(212) 315-2320

Specialties & licenses 1

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

Addresses

Primary practice location

119 W 57TH St
Suite 1514
New York, NY 10019-2303

Mailing address

119 West 57 Street
Suite 1514
New York, NY 10019-2301
Phone (212) 315-2320

Other identifiers 1

IdentifierTypeStateIssuer
00320118MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930061711 NY DME Supplier - Prosthetic PersonnelDME Supplier - Orthotic Personnel 3678699212 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
Orthotic Consultants Inc119 W 57TH St, New York, NY 10019-2401(212) 315-2320 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

119 W 57th St
Ste 1514
New York, NY 10019
Phone (212) 315-2320

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634774400000",
    "number": "1700866555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 WEST 57 STREET",
            "address_2": "SUITE 1514",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192301",
            "telephone_number": "212-315-2320",
            "fax_number": "212-262-1656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W 57TH ST",
            "address_2": "SUITE 1514",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192303",
            "telephone_number": "212-315-2320",
            "fax_number": "212-262-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOTIC CONSULTANTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-18",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A",
        "authorized_official_last_name": "RAUCH",
        "authorized_official_first_name": "ISABELLE",
        "authorized_official_middle_name": "ERICA",
        "authorized_official_title_or_position": "CHIEF ADMIN OFFICER",
        "authorized_official_telephone_number": "212-315-2320",
        "authorized_official_credential": "ABC CERT ORTHOTIST"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00320118",
            "state": "NY"
        }
    ],
    "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 Oct 21, 2021; 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.