New England Orthotic and Prosthetic Systems, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

NEW ENGLAND ORTHOTIC AND PROSTHETIC SYSTEMS, LLC

Practice address

800 Northern Blvd
Suite 3B
Great Neck, NY 11021-5314

Phone

(516) 829-6188

Fax

(516) 829-1488

NPI assigned

Jun 9, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Ronald Manganiello

Title

Member

Phone

(203) 483-8488

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332460800000",
    "number": "1982645289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 SUMMIT PL",
            "address_2": "UNIT 101A",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064054111",
            "telephone_number": "203-483-8488",
            "fax_number": "203-483-6085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 NORTHERN BLVD",
            "address_2": "SUITE 3B",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215314",
            "telephone_number": "516-829-6188",
            "fax_number": "516-829-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENGLAND ORTHOTIC AND PROSTHETIC SYSTEMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2012-03-23",
        "status": "A",
        "authorized_official_last_name": "MANGANIELLO",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "203-483-8488",
        "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": []
}

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• Prosthetic/Orthotic Supplier in Great Neck, NY
• Providers in Great Neck, 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 23, 2012; 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.