New York Orthotic & Prosthetic Associates, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

N/A

Legal business name

NEW YORK ORTHOTIC & PROSTHETIC ASSOCIATES, LLC

Practice address

810 Jericho Tpke
New Hyde Park, NY 11040-4514

Phone

(516) 216-1888

Fax

(516) 233-1889

NPI assigned

Feb 16, 2009

Organization subpart

No

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

Authorized official

Name

Jeffrey Bonneville, CPO

Title

Member

Phone

(516) 216-1888

Specialties & licenses 1

Addresses

Other names 1

• LLC Other name

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

{
    "created_epoch": "1234742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234742400000",
    "number": "1871732826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 JERICHO TPKE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110404514",
            "telephone_number": "516-216-1888",
            "fax_number": "516-233-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 JERICHO TPKE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110404514",
            "telephone_number": "516-216-1888",
            "fax_number": "516-233-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK ORTHOTIC & PROSTHETIC ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-16",
        "last_updated": "2009-02-16",
        "status": "A",
        "authorized_official_last_name": "BONNEVILLE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "516-216-1888",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Prosthetic/Orthotic Supplier in New Hyde Park, NY
• Providers in New Hyde Park, 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 Feb 16, 2009; 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.