Organization Active NPI

Children's Orthotic & Prosthetic Services, Inc.

  • Customized Equipment (DME)
  • Highland, NY
National Provider Identifier
1871893644
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
CHILDREN'S ORTHOTIC & PROSTHETIC SERVICES, INC.
Practice address
40 Park LN
Highland, NY 12528-2824
Phone
(845) 883-3038
Fax
(845) 883-3040
NPI assigned
Oct 27, 2010
Last updated
Jun 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Authorized official

Name
Mr. Brendan Patrick Rooney, C.O.
Title
President/ Owner
Phone
(845) 883-3038

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Customized Equipment (DME) 332BC3200X NU Primary

Addresses

Primary practice location

40 Park LN
Highland, NY 12528-2824

Mailing address

40 Park LN
Highland, NY 12528-2824
Phone (845) 883-3038

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930041111 NY DME Supplier - Orthotic PersonnelDME Supplier - Prosthetic Personnel 8426169384 1 other NPI on this enrollment
Practice locations: Highland, NY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
Children's Orthotic & Prosthetic SE40 Park LN, Highland, NY 12528-2824(845) 883-3038 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Does not accept assignmentParticipating since Nov 27, 2000

National Provider Directory

National Provider Directory

Locations

60 Park Ln
Ste 1
Highland, NY 12528
Phone (845) 883-3038

NPI Registry JSON

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654732800000",
    "number": "1871893644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 PARK LN",
            "city": "HIGHLAND",
            "state": "NY",
            "postal_code": "125282824",
            "telephone_number": "845-883-3038",
            "fax_number": "845-883-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 PARK LN",
            "city": "HIGHLAND",
            "state": "NY",
            "postal_code": "125282824",
            "telephone_number": "845-883-3038",
            "fax_number": "845-883-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S ORTHOTIC & PROSTHETIC SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-27",
        "last_updated": "2022-06-09",
        "certification_date": "2020-08-04",
        "status": "A",
        "authorized_official_last_name": "ROONEY",
        "authorized_official_first_name": "BRENDAN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "845-883-3038",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.O."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.