Manchester Orthopedic Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

MANCHESTER ORTHOPEDIC INC.

Practice address

365 Route 59 Ste 214
Airmont, NY 10952-3459

Phone

(718) 925-2922

Fax

(718) 925-2232

NPI assigned

Jan 22, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Abraham Teitelbaum, C.O.

Title

Pres.

Phone

(718) 925-2922

Specialties & licenses 2

Addresses

Other identifiers 2

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

Manchester Orthopedic Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Manchester Orthopedic Inc.

  • Durable Medical Equipment & Medical Supplies
  • Forest Park, GA
  • NPI 1689371270
  NPD tax ID

Locations

Practitioners 1

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

• Mark G Manchester, CO2015

  • Specialist
  • Middletown, NY
  • NPI 1578653085
  NPD

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1982881983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 ROUTE 59 STE 214",
            "city": "AIRMONT",
            "state": "NY",
            "postal_code": "109523459",
            "telephone_number": "718-925-2922",
            "fax_number": "718-925-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 ROUTE 59 STE 214",
            "city": "AIRMONT",
            "state": "NY",
            "postal_code": "109523459",
            "telephone_number": "718-925-2922",
            "fax_number": "718-925-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANCHESTER ORTHOPEDIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2022-07-21",
        "certification_date": "2020-09-24",
        "status": "A",
        "authorized_official_last_name": "TEITELBAUM",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "718-925-2922",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.O."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NY",
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00368350",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1578653085",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Airmont, NY
• Providers in Airmont, NY by specialty
• Customized Equipment (DME) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.