Active NPI
Prosthetic & Orthotic Associates, Inc.
Doing business as M&M Prosthetics
- Prosthetic/Orthotic Supplier
- Kingston, NY
National Provider Identifier
1710170188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- PROSTHETIC & ORTHOTIC ASSOCIATES, INC.
- Doing business as
- M&M Prosthetics
- Practice address
- 103 Hurley Ave
Suite 101
Kingston, NY 12401-2829 - Phone
- (845) 339-4775
- NPI assigned
- Aug 20, 2007
- Last updated
- Jun 8, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Passero, CP
- Title
- President/Director of Operations
- Phone
- (845) 956-0001
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | |||
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
103 Hurley Ave
Suite 101
Kingston, NY 12401-2829
Mailing address
4 Riverside Dr
Middletown, NY 10941-4064
Phone (845) 956-0001
Other names 1
- M&M Prosthetics
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930043229 | NY | DME Supplier - Prosthetic Personnel | 4688791825 | Practice locations: Kingston, NY |
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Prosthetic/Orthotic Supplier
- Middletown, NY
- NPI 1205810561
4688791825
-
- Prosthetic/Orthotic Supplier
- Poughkeepsie, NY
- NPI 1265625644
4688791825
-
- Prosthetic/Orthotic Supplier
- Milford, PA
- NPI 1073315461
4688791825
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Prosthetic & Orthotic Associates, I | 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 | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Prosthetic Orthotic Associates Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Poughkeepsie, NY
- NPI 1265625644
-
- Prosthetic/Orthotic Supplier
- Milford, PA
- NPI 1073315461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187568000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686182400000",
"number": "1710170188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 RIVERSIDE DR",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109414064",
"telephone_number": "845-956-0001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 HURLEY AVE",
"address_2": "SUITE 101",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124012829",
"telephone_number": "845-339-4775"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROSTHETIC & ORTHOTIC ASSOCIATES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-20",
"last_updated": "2023-06-08",
"certification_date": "2023-06-08",
"status": "A",
"authorized_official_last_name": "PASSERO",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "PRESIDENT/DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "845-956-0001",
"authorized_official_credential": "CP"
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "M&M Prosthetics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kingston, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.