Green Prosthetics & Orthotics, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

6000005987 Issued in PA

Legal business name

GREEN PROSTHETICS & ORTHOTICS, LLC

Practice address

2241 Peninsula Dr
Erie, PA 16506-2954

Phone

(814) 833-2311

Fax

(814) 833-5202

NPI assigned

Aug 24, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Rakesh Jain

Title

Ceo

Phone

(201) 774-1085

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Green Prosthetics & Orthotics LLC

  • Durable Medical Equipment & Medical Supplies
  • Meadville, PA
  • NPI 1013951441

  1254544331

  Same PAC ID
• Green Prosthetics & Orthotics LLC

  • Prosthetic/Orthotic Supplier
  • Jamestown, NY
  • NPI 1346282654

  1254544331

  Same PAC ID

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

Tax ID family

Green Prosthetics Orthotics LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Green Prosthetics & Orthotics LLC

  • Durable Medical Equipment & Medical Supplies
  • Meadville, PA
  • NPI 1013951441
  NPD tax ID
• Green Prosthetics & Orthotics LLC

  • Prosthetic/Orthotic Supplier
  • Jamestown, NY
  • NPI 1346282654
  NPD tax ID

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Care Crafters Prosthetics & Orthotics, Inc

  • Prosthetist
  • Nanuet, NY
  • NPI 1215067756

  Member Of

  NPD member
• Ideal Health Care LLC

  dba Mobility Clinic

  • Durable Medical Equipment & Medical Supplies
  • Edison, NJ
  • NPI 1437196557

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714089600000",
    "number": "1871586883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2241 PENINSULA DR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165062954",
            "telephone_number": "814-833-2311",
            "fax_number": "814-833-5202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2241 PENINSULA DR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165062954",
            "telephone_number": "814-833-2311",
            "fax_number": "814-833-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN PROSTHETICS & ORTHOTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-24",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "RAKESH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "201-774-1085",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "PA",
            "license": "6000005987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY",
            "identifier": "02254635",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OH",
            "identifier": "0322029",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007721900001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greater Erie Community Action Committee (Area Agency on Aging)
• Greater Erie Community Action Committee (GECAC D&A Services)
• Greater Erie Community Action Committee
• Greater Erie Surgery Center, LLC
• Lexyannah Irene Grebiner
• Brittany Green, MACCC-SLP
• Cristina Green
• Joleen Marie Green, RD LDN CDE
• Robin L Green, RN
• Erica Pascale Greene, PHARMD

• Prosthetic/Orthotic Supplier in Erie, PA
• Providers in Erie, PA by specialty
• Prosthetic/Orthotic Supplier in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; 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.