EAST COAST ORTHOTIC & PROSTHETIC CORP (NPI# 1730318072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730318072 |
| Entity Type | Organization |
| Organization Name | EAST COAST ORTHOTIC & PROSTHETIC CORP |
| Practice Address |
505 Delaware Ave Buffalo NY 14202-1309 |
| Mailing Address |
75 Burt Dr Deer Park NY 11729-5701 |
| Practice Telephone | 7168565192 |
| Practice Fax Number | 7168565246 |
| Mailing Telephone | 6312545577 |
| Mailing Fax Number | 6312545550 |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2018-11-02 |
| Authorized Official Name | MR. LAWRENCE J BENENATI (PRESIDENT) |
| Authorized Official Telephone | 6313922228 |
| Is Organization Subpart | Y |
| Parent Organization Name | EAST COAST ORTHOTIC & PROSTHETIC CORP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01749013 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861772782 | East Coast Orthotic & Prosthetic Corp | Durable Medical Equipment & Medical Supplies | 1400 Portland Ave, Suite 52, Rochester, NY 14621-3014 | 2011-08-23 |
| 1083843312 | East Coast Orthotic & Prosthetic Corp | Durable Medical Equipment & Medical Supplies | 19 Bradhurst Ave, Suite 500n, Hawthorne, NY 10532-2140 | 2009-07-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | EAST COAST ORTHOTIC & PROSTHETIC CORP. | 75 Burt Dr, Deer Park, NY 11729-5701 |
| New York State Corporations | EAST COAST ORTHOTIC & PROSTHETIC CORP. | 150 Great Neck Road, Ste 201, Great Neck, New York 11021 |
| Street Address |
505 DELAWARE AVE |
| City | BUFFALO |
| State | NY |
| Zip Code | 14202-1309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285243766 | Megan Gayle Crawley | Specialist/Technologist | 505 Delaware Ave, Buffalo, NY 14202-1309 | 2020-07-30 |
| 1376890798 | Erie County Southeast Corp V | Community/Behavioral Health | 505 Delaware Ave, Buffalo, NY 14202-1309 | 2012-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376141655 | Deborah Elaine Ricci | Counselor | 43o Niagara Sq, Buffalo, NY 14202 | 2020-10-09 |
| 1831716208 | Meagan Licata | Counselor | Bestself Behavioral Health, 255 Delaware Ave Ste 300, Buffalo, NY 14202 | 2020-07-01 |
| 1962022483 | Autumn Marie Hayes I | Counselor | 625 Deleware Avenue, Suite 204, Buffalo, NY 14202 | 2020-04-24 |
| 1861012742 | Natasha Qutab | Student in an Organized Health Care Education/Training Program | Department of Neurology, 1010 Main Street, 2nd Floor, Buffalo, NY 14202 | 2020-04-21 |
| 1396232245 | Wood Dental LLC | Dentist | 564 Franklin Street, Buffalo, NY 14202 | 2018-04-17 |
| 1083130728 | Lydia Heeeun Doublestein | Advanced Practice Midwife | 367 Delaware Ave, Buffalo, NY 14202 | 2017-08-15 |
| 1356861652 | Michelle Cheesman | Speech-Language Pathologist | 801 City Hall, Buffalo, NY 14202 | 2017-06-27 |
| 1275082075 | Tempresst Nycole Batts Ravenell | Registered Nurse | 69 Delaware Ave Suite 1200, Interim Healthcare, Buffalo, NY 14202 | 2016-09-22 |
| 1972974764 | Tiffany Tyran | Registered Nurse | 69 Delaware Ave, Suite 1200, Buffalo, NY 14202 | 2015-10-19 |
| 1487044368 | Katherine Jeffries-coppola | Registered Nurse | 69 Delaware Ave. Suite 1200, Buffalo, NY 14202 | 2015-01-29 |
| Find all providers in zip 14202 | ||||
| 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 |
|---|---|---|---|---|
| 1033461322 | Rebound Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 300 Catlin St Ste 104, Buffalo, MN 55313-2035 | 2012-10-10 |
| 1306953930 | Buffalo Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 112 1st St S, Buffalo, MN 55313-1402 | 2006-08-23 |
| 1770767659 | Robert A. Hewson D.p.m. | Prosthetic/Orthotic Supplier | 344 Niagara Falls Blvd, Buffalo, NY 14223-3044 | 2007-12-27 |
| 1245318278 | Great Lakes Orthopedic Labs, Inc | Prosthetic/Orthotic Supplier | 1031 Main St, Buffalo, NY 14203-1014 | 2006-11-01 |
| 1992735781 | American Health Care Inc | Prosthetic/Orthotic Supplier | 4039 Genesee St, Buffalo, NY 14225-1904 | 2006-07-04 |
| 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 |
| 1659921716 | Millenium Medical Products, Inc | Prosthetic/Orthotic Supplier | 204 19 12th Ave, Rockaway Point, NY 11697-1120 | 2019-09-19 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.