East Coast Orthotic & Prosthetic Corp.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

EAST COAST ORTHOTIC & PROSTHETIC CORP.

Practice address

503 E 163Rd St Ste B
Bronx, NY 10451-4227

Phone

(718) 618-0246

Fax

(718) 618-0220

NPI assigned

May 17, 2018

Organization subpart

Yes

Parent organization

EAST COAST ORTHOTIC & PROSTHETIC CORP.As reported in NPPES

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

Authorized official

Name

Mr. Lawrence J. Benenati

Title

President

Phone

(631) 392-2228

Specialties & licenses 2

Addresses

Part of

East Coast Orthotic Prosthetic Corp

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541116800000",
    "number": "1922598689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 BURT DR",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117295701",
            "telephone_number": "631-392-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 E 163RD ST STE B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104514227",
            "telephone_number": "718-618-0246",
            "fax_number": "718-618-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COAST ORTHOTIC & PROSTHETIC CORP.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAST COAST ORTHOTIC & PROSTHETIC CORP.",
        "enumeration_date": "2018-05-17",
        "last_updated": "2018-11-02",
        "status": "A",
        "authorized_official_last_name": "BENENATI",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-392-2228",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alice Easmon, LPN
• Ancy Veny Easo, RPH
• Lynette Eason
• Jijy Easow, MD
• East Coast Medical Services PC
• East Coast Rehabilitation Inc
• East Haven Nursing and Rehabilitation Center
• East Tremont Dental Arts PLLC
• East Tremont Foot Care PLLC
• East Tremont Medical PC

• Prosthetic/Orthotic Supplier in Bronx, NY
• Providers in Bronx, 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 Nov 2, 2018; 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.