NPIMap

Organization Active NPI

Lorelei Orthotics and Prosthetics, Inc.

  • Prosthetic/Orthotic Supplier
  • New York, NY
National Provider Identifier
1811041130
Registry record updated Dec 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
LORELEI ORTHOTICS AND PROSTHETICS, INC.
Practice address
19 W 21St St
Suite 204
New York, NY 10010-6805
Phone
(212) 727-2011
Fax
(212) 727-0844
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2013

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

Authorized official

Name
Matthew J Westlake, C.O.NPI 1548983612
Title
Owner
Phone
(212) 727-2011

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

19 W 21St St
Suite 204
New York, NY 10010-6805

Mailing address

19 W 21St St
Suite 204
New York, NY 10010-6805
Phone (212) 727-2011

Other identifiers 2

IdentifierTypeStateIssuer
1046705MedicaidNJ
01091818MedicaidNY

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386028800000",
    "number": "1811041130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 W 21ST ST",
            "address_2": "SUITE 204",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100106805",
            "telephone_number": "212-727-2011",
            "fax_number": "212-727-0844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 W 21ST ST",
            "address_2": "SUITE 204",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100106805",
            "telephone_number": "212-727-2011",
            "fax_number": "212-727-0844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORELEI ORTHOTICS AND PROSTHETICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2013-12-03",
        "status": "A",
        "authorized_official_last_name": "WESTLAKE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-727-2011",
        "authorized_official_credential": "C.O."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1046705",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01091818",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; 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.