East Coast Orthotic & Prosthetic Corp

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

EAST COAST ORTHOTIC & PROSTHETIC CORP

Practice address

505 Delaware Ave
Buffalo, NY 14202-1309

Phone

(716) 856-5192

Fax

(716) 856-5246

NPI assigned

Jul 8, 2009

Organization subpart

Yes

Parent organization

EAST COAST ORTHOTIC & PROSTHETIC CORPAs reported in NPPES

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

Authorized official

Name

Mr. Lawrence J Benenati

Title

President

Phone

(631) 392-2228

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs with the same Medicare PAC ID 3

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

• East Coast Orthotic & Prosthetic Corp

  • Prosthetic/Orthotic Supplier
  • Hawthorne, NY
  • NPI 1083843312

  1153442009

  Same PAC ID
• East Coast Orthotic & Prosthetic Corp.

  • Prosthetic/Orthotic Supplier
  • New York, NY
  • NPI 1356570675

  1153442009

  Same PAC ID
• East Coast Orthotic & Prosthetic Corp.

  • Prosthetic/Orthotic Supplier
  • Deer Park, NY
  • NPI 1699850073

  1153442009

  Same PAC ID

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

Part of

East Coast Orthotic Prosthetic Corp

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541116800000",
    "number": "1730318072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 BURT DR",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117295701",
            "telephone_number": "631-254-5577",
            "fax_number": "631-254-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 DELAWARE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142021309",
            "telephone_number": "716-856-5192",
            "fax_number": "716-856-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COAST ORTHOTIC & PROSTHETIC CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAST COAST ORTHOTIC & PROSTHETIC CORP",
        "enumeration_date": "2009-07-08",
        "last_updated": "2018-11-02",
        "status": "A",
        "authorized_official_last_name": "BENENATI",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-392-2228",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01749013",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thalia Felicia Eady
• Leah Marie Eagan, LMFT
• Tameka K Ealey
• Cynthia Early
• Kayla Eason
• Veronica S East, LPN
• Brenda J Easter, SLP
• Sara Easterday, LPN
• Eastern Great Lakes Pathology PC
• Eastern Niagara Radiology & Nuclear Medicine Associates, PC

• Prosthetic/Orthotic Supplier in Buffalo, NY
• Providers in Buffalo, 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 Nov 2, 2018; 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.