MILLENIUM MEDICAL PRODUCTS, INC (NPI# 1659921716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659921716 |
| Entity Type | Organization |
| Organization Name | MILLENIUM MEDICAL PRODUCTS, INC |
| Practice Address |
204 19 12th Ave Rockaway Point NY 11697-1120 |
| Practice Telephone | 9173633460 |
| Practice Fax Number | 3472467489 |
| Mailing Telephone | 9173633460 |
| Mailing Fax Number | 3472467489 |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2019-09-19 |
| Authorized Official Name | MR. EDWARD FLANAGAN (OWNER/OPERATOR) |
| Authorized Official Telephone | 9173633460 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | MILLENIUM MEDICAL PRODUCTS, INC. | 204-19 12th Ave., Rockaway Point, Ny 11697 |
| Street Address |
204 19 12TH AVE |
| City | ROCKAWAY POINT |
| State | NY |
| Zip Code | 11697-1120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700015120 | Kerry Maguire | Speech-Language Pathologist | 119 Bedford Avenue, Rockaway Point, NY 11697 | 2009-07-07 |
| 1821233255 | Lori Ann Robertson | Speech-Language Pathologist | 204-09 8th Ave., Rockaway Point, NY 11697 | 2008-12-15 |
| 1851546592 | Annmarie Regan | Social Worker | 321 Woodmere Boulevard, Woodmere, NY 11697 | 2008-11-21 |
| 1992957294 | Kevin Ball | Physician Assistant | 16 State Rd, Rockaway Point, NY 11697 | 2008-10-17 |
| 1487636858 | Anne Hardick Dacko | Dermatology | 20408 Rockaway Point Blvd, Breezy Point, NY 11697 | 2005-11-18 |
| 1174845580 | Wayne Thomas Guibas | Pharmacist | 202-20 Rockaway Point Blvd, Rockaway Point, NY 11697 | 2010-02-26 |
| 1457658098 | Maureen Stokes-mccarthy | Nurse Practitioner | 217-o3 Rockaway Point Blvd, Breezy Point, NY 11697-0000 | 2011-02-17 |
| 1609330455 | Anne Brennan | Registered Nurse | 21605 Palmer Dr, Breezy Point, NY 11697-1019 | 2019-01-25 |
| 1477968600 | Patricia Carpenter | Specialist | 20801 Bayside Walk, Breezy Point, NY 11697-1101 | 2014-06-26 |
| 1053675306 | Andrea Stiga | Specialist | 20417 Marshall Ave, Rockaway Point, NY 11697-1106 | 2012-07-02 |
| Find all providers in zip 11697 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538796545 | Ffh Concepts LLC | Prosthetic/Orthotic Supplier | 545 Saw Mill River Rd Ste 1a, Ardsley, NY 10502-2159 | 2020-03-27 |
| 1417584046 | Alta Vista Inc. | Prosthetic/Orthotic Supplier | 420 Madison Ave Fl 2, New York, NY 10017-1195 | 2020-03-24 |
| 1114554904 | Britica Management Group Inc | Prosthetic/Orthotic Supplier | 40 Gardenville Pkwy Ste 200, West Seneca, NY 14224-1399 | 2020-03-24 |
| 1992332837 | Genesis II Hair Replacement Studio | Prosthetic/Orthotic Supplier | 405 E Taft Rd, North Syracuse, NY 13212-3734 | 2020-03-23 |
| 1548895113 | East Coast Orthotic & Prosthetic Corp. | Prosthetic/Orthotic Supplier | 326 2nd Ave, New York, NY 10003-2732 | 2020-03-04 |
| 1154964955 | Northern Orthopedic Laboratory Inc. | Prosthetic/Orthotic Supplier | 6604 State Highway 56 Apt 6, Potsdam, NY 13676-3546 | 2019-10-24 |
| 1285275354 | Chanta Mabry | Prosthetic/Orthotic Supplier | 1787 Fulton St, Brooklyn, NY 11233-3029 | 2019-09-30 |
| 1700435278 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 200 Old Country Rd Ste 590a, Mineola, NY 11501-4235 | 2019-09-08 |
| 1265081731 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 1393 Veterans Memorial Hwy Ste 112n, Hauppauge, NY 11788-3066 | 2019-09-08 |
| 1376195065 | Lehneis Prosthetics & Orthotics, Ltd. | Prosthetic/Orthotic Supplier | 200 Trade Zone Dr Ste C, Ronkonkoma, NY 11779-7359 | 2019-07-12 |
| Find all providers with the same taxonomy | ||||
| City | ROCKAWAY POINT |
| Zip Code | 11697 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.