Organization Active NPI

Orthotics and Prosthetics Solutions

  • Customized Equipment (DME)
  • Hicksville, NY
National Provider Identifier
1922279454
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
CO002078 Issued in NY
Legal business name
ORTHOTICS AND PROSTHETICS SOLUTIONS
Practice address
101 Bloomingdale Rd
Ste 2
Hicksville, NY 11801-6550
Phone
(516) 827-0130
Fax
(516) 827-0133
NPI assigned
Mar 12, 2008
Last updated
Mar 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2010

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

Authorized official

Name
Shelley Mary Sousa
Title
President
Phone
(516) 827-0130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X CO002078 NY Primary

Addresses

Primary practice location

101 Bloomingdale Rd
Ste 2
Hicksville, NY 11801-6550

Mailing address

101 Bloomingdale Rd
Ste 2
Hicksville, NY 11801-6550
Phone (516) 827-0130

National Provider Directory

National Provider Directory

Locations

101 Bloomingdale Rd
Ste 2
Hicksville, NY 11801
Phone (516) 827-0130

101 Bloomingdale Rd
Ste 3
Hicksville, NY 11801
Phone (516) 827-0130

NPI Registry JSON

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268006400000",
    "number": "1922279454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BLOOMINGDALE RD",
            "address_2": "STE 2",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118016550",
            "telephone_number": "516-827-0130",
            "fax_number": "516-827-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BLOOMINGDALE RD",
            "address_2": "STE 2",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118016550",
            "telephone_number": "516-827-0130",
            "fax_number": "516-827-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOTICS AND PROSTHETICS SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2010-03-08",
        "status": "A",
        "authorized_official_last_name": "SOUSA",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-827-0130"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NY",
            "license": "CO002078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hicksville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; 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.