EASTSIDE ORTHOTICS AND PROSTHETICS, INC. – NPI #1982608493
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.

EASTSIDE ORTHOTICS AND PROSTHETICS, INC. is a DME Supplier located in NEW YORK, NY. NPPES has assigned the NPI number 1982608493 to EASTSIDE ORTHOTICS AND PROSTHETICS, INC. on June 13, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 335E00000X from the Health Care Provider Taxonomy code set, which is classified as Prosthetic/Orthotic Supplier.

The NPI profile was previously updated about 19 years ago on Sep 19, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EASTSIDE ORTHOTICS AND PROSTHETICS, INC. below.

NPI Profile for
EASTSIDE ORTHOTICS AND PROSTHETICS, INC.

NPI Number
1982608493
Enumeration Date

(more than 21 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EASTSIDE ORTHOTICS AND PROSTHETICS, INC.
Primary location
622 W 168TH ST
VC333
NEW YORK, NY 10032
Phone: (212) 305-3275 Fax: (212) 305-5927
Mailing address
34 COMMERCE DR
SUITE 200
RIVERHEAD, NY 11901-3174
Phone: (631) 727-8735 Fax: (631) 727-6834
Organization Subpart
No
Authorized Official
MATTHEW FLYNN
PRESIDENT
Phone: (631) 727-8735
Updated
Identifiers

Identifiers for EASTSIDE ORTHOTICS AND PROSTHETICS, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNY01052611
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
335E00000X
- Prosthetic/Orthotic Supplier (Primary)
332B00000X
- Durable Medical Equipment & Medical Supplies

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.