East Coast Orthotic & Prosthetic Corp.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

EAST COAST ORTHOTIC & PROSTHETIC CORP.

Practice address

211 Airport Executive Park
Nanuet, NY 10954-5262

Phone

(845) 694-3585

Fax

(845) 262-1649

NPI assigned

Nov 6, 2014

Organization subpart

Yes

Parent organization

EAST COAST ORTHOTIC & PROSTHETIC CORP.As reported in NPPES

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

Authorized official

Name

Mr. Lawrence Joseph Benenati

Title

President

Phone

(631) 254-5577

Specialties & licenses 2

Addresses

Part of

East Coast Orthotic Prosthetic Corp

Locations

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415232000000",
    "number": "1740686468",
    "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": "211 AIRPORT EXECUTIVE PARK",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109545262",
            "telephone_number": "845-694-3585",
            "fax_number": "845-262-1649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COAST ORTHOTIC & PROSTHETIC CORP.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAST COAST ORTHOTIC & PROSTHETIC CORP.",
        "enumeration_date": "2014-11-06",
        "last_updated": "2014-11-06",
        "status": "A",
        "authorized_official_last_name": "BENENATI",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-254-5577",
        "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": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Joseph Duffy, PT
• Charles Duru
• Jordan Dutiger, LMT
• Celia-Ann Dye
• Catherine M. Dziobkowski, RN
• Eckerson Pediatric Associates, PC
• Natalie E Eckstein, O.D.
• Stuart Edelstein, DDS
• Laetitia Edmond
• Rose Sabiana Edmond, RN

• Prosthetic/Orthotic Supplier in Nanuet, NY
• Providers in Nanuet, 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 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.