Ultrapedics LTD

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

CP002645 Issued in NY

Legal business name

ULTRAPEDICS LTD

Practice address

355 Ovington Avenue
Suite 104
Brooklyn, NY 11209-1483

Phone

(718) 748-4806

Fax

(718) 748-4884

NPI assigned

May 23, 2005

Organization subpart

No

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

Authorized official

Name

Tulio Rivera, CPO

Title

Owner

Phone

(718) 748-4806

Specialties & licenses 3

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

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237852800000",
    "number": "1922001155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 OVINGTON AVENUE",
            "address_2": "SUITE 104",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112091483",
            "telephone_number": "718-748-4806",
            "fax_number": "718-748-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 OVINGTON AVENUE",
            "address_2": "SUITE 104",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112091483",
            "telephone_number": "718-748-4806",
            "fax_number": "718-748-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRAPEDICS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2009-03-24",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "TULIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-748-4806",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "CP002645",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NJ",
            "license": "45PO00001600",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NY",
            "license": "CP002645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00870104",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ultra Health Physical Therapy and Rehabilitation, PC
• Ultra Medical Supply
• Ultracare Family Wellness of Ny, Inc.
• Ultrajoint Systems Inc.
• Ultraline Medical Testing P.C.
• Ultraplus Group, Inc.
• Ultrasound Health Systems, Inc.
• Fabienne Gaillard Ulysse, NP
• Marie Andree Ulysse
• Rose Ulysse, FNP

• Prosthetic/Orthotic Supplier in Brooklyn, NY
• Providers in Brooklyn, 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 Mar 24, 2009; 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.