Active NPI
Orthotics & Prosthetics Stat Inc
- Prosthetic/Orthotic Supplier
- Bronx, NY
National Provider Identifier
1750273207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- ORTHOTICS & PROSTHETICS STAT INC
- Practice address
- 1250 Waters PL
Bronx, NY 10461-2720 - Phone
- (516) 633-3506
- NPI assigned
- Jul 18, 2025
- 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
- Nicholas Diaz
- Title
- Practitioner
- Phone
- (516) 633-3506
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
1250 Waters PL
Bronx, NY 10461-2720
Mailing address
99 Beach Rd
Massapequa, NY 11758-6614
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752796800000",
"number": "1750273207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 BEACH RD",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117586614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 WATERS PL",
"city": "BRONX",
"state": "NY",
"postal_code": "104612720",
"telephone_number": "516-633-3506"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHOTICS & PROSTHETICS STAT INC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-18",
"last_updated": "2025-07-18",
"certification_date": "2025-07-18",
"status": "A",
"authorized_official_last_name": "DIAZ",
"authorized_official_first_name": "NICHOLAS",
"authorized_official_title_or_position": "PRACTITIONER",
"authorized_official_telephone_number": "516-633-3506"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.