Dynamic Orthopedic Laboratory

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

DYNAMIC ORTHOPEDIC LABORATORY

Practice address

320 Route 66
Hudson, NY 12534-3429

Phone

(518) 828-2333

Fax

(518) 828-1350

NPI assigned

Aug 23, 2005

Organization subpart

No

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

Authorized official

Name

Mr. John Francis Hoffert Jr., CO/BOCP

Title

Owner

Phone

(518) 828-2333

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• John F Hoffert Doing business as

Locations

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375747200000",
    "number": "1942293253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 ROUTE 66",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125343429",
            "telephone_number": "518-828-2333",
            "fax_number": "518-828-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 ROUTE 66",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125343429",
            "telephone_number": "518-828-2333",
            "fax_number": "518-828-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC ORTHOPEDIC LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2013-08-06",
        "status": "A",
        "authorized_official_last_name": "HOFFERT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-828-2333",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "CO/BOCP"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00867670",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSOF NORTHWEST NEW YORK",
            "identifier": "000400980001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAP. DIST. PHY. HEALTH PL",
            "identifier": "10014666",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John F Hoffert",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michele Rose Dolan, L.AC
• Alejandro Federico Dominguez, PA-C
• Steven Doolittle
• John Alfred Downing, M.S.
• Caroline Joyce Dumoulin, PHARM.D.
• Eastgate Acupuncture P.C.
• Maryellen Eaton, RPH
• Perrin D Edwards, DPM
• Milton Ehrlich, OD
• Elliott Acupuncture PC

• Prosthetic/Orthotic Supplier in Hudson, NY
• Providers in Hudson, 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 Aug 6, 2013; 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.