Bay Orthopedic and Rehabilitation Supply Co Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

BAY ORTHOPEDIC AND REHABILITATION SUPPLY CO INC

Practice address

616 Jericho Tpke
Huntington Station, NY 11746-7317

Phone

(631) 271-0825

Fax

(631) 271-1363

NPI assigned

Nov 14, 2005

Last updated

Dec 19, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael Mangino, CPO CPEDNPI 1841592938

Title

President

Phone

(631) 271-0825

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Mangino, C.P.O., C.PED.

  • Orthotist
  • Huntington Station, NY
  • NPI 1841592938
  Authorized official Same address or phone
• Bradley Wayne Anthony, BOCPO

  • Orthotist
  • Westbury, NY
  • NPI 1699246728
  NPD (past)
• Louis McCabe, ABC C.P.O.

  • Prosthetist
  • Huntington Station, NY
  • NPI 1871019851
  NPD (past)
• Ross Francis Mittiga, CPO

  • Prosthetics Case Management
  • West Babylon, NY
  • NPI 1215378021
  NPD (past)
• Peter O'Neill, C.O.

  • Orthotist
  • West Babylon, NY
  • NPI 1093156994
  NPD (past)
• Glenn Richard Paul

  • Orthotist
  • Huntington Station, NY
  • NPI 1396464095
  NPD (past)
• William Patrick Perdue

  • Orthotist
  • West Babylon, NY
  • NPI 1114481231
  NPD (past)
• Bradley Dean Smith, C.O.

  • Orthotist
  • Westbury, NY
  • NPI 1164725610
  NPD (past)
• Harry Watnik, C.O.

  • Specialist
  • Westbury, NY
  • NPI 1427367374
  NPD (past)

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418947200000",
    "number": "1881675155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 JERICHO TPKE",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117467317",
            "telephone_number": "631-271-0825",
            "fax_number": "631-271-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 JERICHO TPKE",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117467317",
            "telephone_number": "631-271-0825",
            "fax_number": "631-271-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY ORTHOPEDIC AND REHABILITATION SUPPLY CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-14",
        "last_updated": "2014-12-19",
        "status": "A",
        "authorized_official_last_name": "MANGINO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-271-0825",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO CPED"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01014144",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachelle Baptiste
• Maria Barrera
• Audrey Barrett
• Kadijatu Battinelli, MHC-LP
• Claudia Maria Bauer, SLP
• Vincent John Beauman, C.O.
• Jillian Beck, D.P.T.
• Jacqueline Blumenfeld Becker, PH.D.
• Shari Becker, AUDIOLOGIST
• Wendy Beckmann, MS FNPC

• Prosthetic/Orthotic Supplier in Huntington Station, NY
• Providers in Huntington Station, 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 Dec 19, 2014; 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.