Organization Active NPI

Metropolitan Brace & Limb LLC

  • Prosthetic/Orthotic Supplier
  • Deer Park, NY
National Provider Identifier
1740463686
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
METROPOLITAN BRACE & LIMB LLC
Practice address
87 N Industry CT
Suite C
Deer Park, NY 11729-4608
Phone
(631) 400-3355
Fax
(631) 940-8022
NPI assigned
Dec 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2015

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

Authorized official

Name
Mr. Jorge A Gonzalez Jr., CPONPI 1205962933
Title
Owner
Phone
(718) 824-3595

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

87 N Industry CT
Suite C
Deer Park, NY 11729-4608

Mailing address

87 N Industry CT
Suite C
Deer Park, NY 11729-4608
Phone (631) 400-3355

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930021106 NY DME Supplier - Prosthetic PersonnelDME Supplier - Orthotic Personnel 2365653292 Practice locations: Deer Park, 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
Metropolitan Brace & Limb, LLC87 N Industry CT, Deer Park, NY 11729-4607(631) 400-3355 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf Does not accept assignmentParticipating since Jun 6, 2005

National Provider Directory

National Provider Directory

Locations

1402 Castle Hill Ave
Bronx, NY 10462
Phone (718) 824-3595

87 N Industry Ct
Ste C
Deer Park, NY 11729
Phone (631) 400-3355

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421280000000",
    "number": "1740463686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 N INDUSTRY CT",
            "address_2": "SUITE C",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117294608",
            "telephone_number": "631-400-3355",
            "fax_number": "631-940-8022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 N INDUSTRY CT",
            "address_2": "SUITE C",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117294608",
            "telephone_number": "631-400-3355",
            "fax_number": "631-940-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN BRACE & LIMB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2015-01-15",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-824-3595",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deer Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; 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.