Organization Active NPI

Reliable Prosthetics and Orthotics LLC

  • Prosthetic/Orthotic Supplier
  • New Bern, NC
National Provider Identifier
1750346276
Registry record updated Feb 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
CO003619 Issued in NC
Legal business name
RELIABLE PROSTHETICS AND ORTHOTICS LLC
Practice address
1314 Commerce Dr Ste B
New Bern, NC 28562-2287
Phone
(252) 638-8989
Fax
(252) 638-5989
NPI assigned
Apr 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2025

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

Authorized official

Name
Mr. Nick M Frisoli
Title
Operations MGR.
Phone
(252) 638-8989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X CO003619 NC Primary

Addresses

Primary practice location

1314 Commerce Dr Ste B
New Bern, NC 28562-2287

Mailing address

1314 Commerce Dr Ste B
New Bern, NC 28562-2287
Phone (252) 638-8989

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930093069 NC DME Supplier - Orthotic PersonnelDME Supplier - Medical Supply Company With Orthotic-ProstheticDME Supplier - Prosthetic Personnel 9931301702 Practice locations: New Bern, NC

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
Reliable Prosthetics and Orthotics1314 Commerce Dr, New Bern, NC 28562-2287(252) 638-8989 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses Accepts assignmentParticipating since Jan 1, 2009

National Provider Directory

National Provider Directory
Tax ID family
Reliable Prosthetics and Orthotics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1405C S Glenburnie Rd
New Bern, NC 28562

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738368000000",
    "number": "1750346276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 COMMERCE DR STE B",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622287",
            "telephone_number": "252-638-8989",
            "fax_number": "252-638-5989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 COMMERCE DR STE B",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622287",
            "telephone_number": "252-638-8989",
            "fax_number": "252-638-5989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIABLE PROSTHETICS AND ORTHOTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2025-02-01",
        "certification_date": "2025-02-01",
        "status": "A",
        "authorized_official_last_name": "FRISOLI",
        "authorized_official_first_name": "NICK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPERATIONS MGR.",
        "authorized_official_telephone_number": "252-638-8989",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NC",
            "license": "CO003619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2025; 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.