Organization Active NPI

Stride Orthotics & Prosthetics, Inc.

Doing business as Empire Orthopedic Laboratories

  • Prosthetic/Orthotic Supplier
  • Yorkville, NY
National Provider Identifier
1942431853
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
STRIDE ORTHOTICS & PROSTHETICS, INC.
Doing business as
Empire Orthopedic Laboratories
Practice address
44 Oriskany Blvd
Yorkville, NY 13495-1324
Phone
(315) 736-0161
Fax
(315) 736-0570
NPI assigned
Jul 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Authorized official

Name
Mr. Joshua Jon Mullen, C.P.O.NPI 1184869521
Title
President
Phone
(315) 430-5136

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

44 Oriskany Blvd
Yorkville, NY 13495-1324

Mailing address

44 Oriskany Blvd
Yorkville, NY 13495-1324
Phone (315) 736-0161

Other names 1

  • Empire Orthopedic Laboratories Doing business as

National Provider Directory

National Provider Directory

Locations

44 Oriskany Blvd
Yorkville, NY 13495
Phone (315) 736-0161

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1942431853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 ORISKANY BLVD",
            "city": "YORKVILLE",
            "state": "NY",
            "postal_code": "134951324",
            "telephone_number": "315-736-0161",
            "fax_number": "315-736-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 ORISKANY BLVD",
            "city": "YORKVILLE",
            "state": "NY",
            "postal_code": "134951324",
            "telephone_number": "315-736-0161",
            "fax_number": "315-736-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRIDE ORTHOTICS & PROSTHETICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-28",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "MULLEN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-430-5136",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.P.O."
    },
    "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": [
        {
            "organization_name": "Empire Orthopedic Laboratories",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yorkville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.