Progressive Orthotics LTD

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PROGRESSIVE ORTHOTICS LTD

Practice address

280 Middle Country Rd Ste G
Selden, NY 11784-2532

Phone

(631) 732-5556

Fax

(631) 732-0218

NPI assigned

Nov 2, 2006

Organization subpart

Yes

Parent organization

PROGRESSIVE ORTHOTICS LTDAs reported in NPPES

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

Authorized official

Name

Mr. Bruce S Goodman, CO BOCPNPI 1285236661

Title

Ceo

Phone

(631) 732-5556

Specialties & licenses 2

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

Tax ID family

Progressive Orthotics L2 organizations share this tax ID, including this one

Part of

Progressive Orthotics L

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Progressive Orthotics LTD

  • Prosthetic/Orthotic Supplier
  • Patchogue, NY
  • NPI 1396938775
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Progressive Orthotics LTD

  • Prosthetic/Orthotic Supplier
  • Patchogue, NY
  • NPI 1396938775
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bruce S Goodman I, BOCP

  • Prosthetist
  • Selden, NY
  • NPI 1285236661
  NPD Authorized official

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1952489163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 MIDDLE COUNTRY RD STE G",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117842532",
            "telephone_number": "631-732-5556",
            "fax_number": "631-732-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 MIDDLE COUNTRY RD STE G",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117842532",
            "telephone_number": "631-732-5556",
            "fax_number": "631-732-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE ORTHOTICS LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROGRESSIVE ORTHOTICS LTD",
        "enumeration_date": "2006-11-02",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "631-732-5556",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CO BOCP"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthotic Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00615045",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Plaza Podiatry PLLC
• PM Pediatrics of Selden
• Seth Polan
• Mark S Pollner, M.D.
• Haydee Pondar, OTR/L
• Margaret Purdy, PHYSICAL THERAPIST
• Ma Teresita Cruz Purugganan
• Quality Pharmacy Inc
• Stefanie Marie Querido, LMT
• Quickmed Supplies Inc

• Prosthetic/Orthotic Supplier in Selden, NY
• Providers in Selden, 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 12, 2008; 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.