PROSTHETICS LAB LTD LLC (NPI# 1366032476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366032476 |
| Entity Type | Organization |
| Organization Name | PROSTHETICS LAB LTD LLC |
| Practice Address | 1115 Clarkson Ave Brooklyn NY 11212-2728 |
| Practice Telephone | 9178379447 |
| Mailing Address | 1115 Clarkson Ave Brooklyn NY 11212-2728 |
| Mailing Telephone | 9178379447 |
| Certification Date | 2021-01-22 |
| Enumeration Date | 2021-01-22 |
| Last Update Date | 2021-01-22 |
| Authorized Official Telephone | 9178379447 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Street Address | 1115 CLARKSON AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11212-2728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396365136 | Ama Asabea Asare | Student in an Organized Health Care Education/Training Program | Emergency Medicine, Brookdale University Hospital and M, 1 Brookdale Plaza, Brooklyn, NY 11212 | 2020-04-22 |
| 1811516560 | Amrusha Musunuru | Student in an Organized Health Care Education/Training Program | Room 222 Chc, Department of Surgical Services, The Broo, Brookdale, NY 11212 | 2020-04-13 |
| 1508414707 | Sri Lakshmi Atthota | Student in an Organized Health Care Education/Training Program | Brookdale University Hospital,Room 222, Chc, One Brookdale Plaza, Brooklyn,New York, NY 11212 | 2019-08-30 |
| 1457812273 | Shane Devanand Naidoo | Student in an Organized Health Care Education/Training Program | Dept of Emergency Medicine, Brookdale Hospital Med Cntr, 1 Brookdale Plaza, Brooklyn, NY 11212 | 2019-03-26 |
| 1790262467 | Xiao Xiong You | Student in an Organized Health Care Education/Training Program | 1 Brookdale Plaza, Department of Adult Psychiatry, Brooklyn, NY 11212 | 2018-07-25 |
| 1215426143 | Danielle Levy | Counselor · School | 298 Hegeman Ave, Brooklyn, NY 11212 | 2018-05-07 |
| 1598288011 | Naga Venkata Divya Challa | Student in an Organized Health Care Education/Training Program | One Brookdale Plaza, 8 Chc Room 801-5, Department of Pediatrics, Brookdale University Hospital, Brooklyn, NY 11212 | 2017-07-18 |
| 1699298026 | Alexander Andreev | Student in an Organized Health Care Education/Training Program | 1 Brookdale Plaza, Brooklyn, Brooklyn, NY 11212 | 2017-07-18 |
| 1912428921 | Sadrac Edouard | Licensed Practical Nurse | 498 East 94th St, Brooklyn, NY 11212 | 2017-06-29 |
| 1023544194 | Orrett Layne | Licensed Practical Nurse | 279 East 92nd Street, Brooklyn, NY 11212 | 2017-05-10 |
| Find all providers in zip 11212 | ||||
| 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 |
|---|---|---|---|---|
| 1285275354 | Chanta Mabry | 1787 Fulton St, Brooklyn, NY 11233-3029 | 2019-09-30 | |
| 1740789544 | Modern Medical Supply Inc | 4403 8th Ave, Brooklyn, NY 11220-1513 | 2018-02-07 | |
| 1780102657 | Osy Inc · Georgie Wig Salon | 4424 16th Ave Fl 3, Brooklyn, NY 11204-1012 | 2017-08-31 | |
| 1316486483 | Aaa Insoles Inc | 2805 E 26th St, Suite 3c, Brooklyn, NY 11235-2747 | 2017-02-21 | |
| 1194182840 | Lcs Prosthetics | 4714 Fort Hamilton Pkwy, Brooklyn, NY 11219-2926 | 2016-01-26 | |
| 1508121393 | Bd O & P Inc. · Teitelbaum Orthotics & Prosthotics | 1310 Coney Island Ave, Brooklyn, NY 11230-3521 | 2012-07-09 | |
| 1568747178 | Healquest Inc | 2455 Mcdonald Ave, Unit I, Brooklyn, NY 11223-5232 | 2011-10-14 | |
| 1205127909 | Modaitalianashoesinc. | 112avenue.u, Brooklyn, NY 11223 | 2011-04-28 | |
| 1801192729 | Irene's Wigs Studio | 1323 46th St, Level-C (basement), Brooklyn, NY 11219-2165 | 2011-02-10 | |
| 1780814418 | Iwig Inc. | 1450 40th St, Brooklyn, NY 11218-3510 | 2009-07-15 | |
| Find all providers in BROOKLYN | ||||
| City | BROOKLYN |
| Zip Code | 11212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942509450 | Atlantic Prosthetics & Orthotics, LLC · Unch Dept. of Prosthetics & Orthotics | Prosthetic/Orthotic Supplier | 101 Manning Dr, Dept. of Prosthetics & Orthotics, Chapel Hill, NC 27514-4220 | 2011-03-23 |
| 1386786614 | Medsource Orthotics & Prosthetics, Inc · Hamilton Prosthetics | Prosthetic/Orthotic Supplier | 3636 N 3rd Ave, Suite 100, Phoenix, AZ 85013-3904 | 2007-02-13 |
| 1619158409 | Ramos Prosthetics & Pedorthics · Premier Prosthetics | Prosthetist | 8519 Callaghan Rd, San Antonio, TX 78230-4948 | 2007-11-20 |
| 1194051383 | B&l Prosthetics · Twin City Orthotics and Prosthetics | Prosthetic/Orthotic Supplier | 704 Gaslight Blvd, Lufkin, TX 75904-3153 | 2009-10-23 |
| 1649638701 | Norell Prosthetics Orthotics Inc. · Synergy Prosthetics | Prosthetic/Orthotic Supplier | 5466 Complex St Ste 207, San Diego, CA 92123-1124 | 2016-02-04 |
| 1407171044 | Ramos Prosthetics & Pedorthics · Premier Prosthetics | Prosthetic/Orthotic Supplier | 8519 Callaghan Rd, San Antonio, TX 78230-4948 | 2010-04-06 |
| 1619933793 | Mhc Orthotics and Prosthetics LLC · Mhc Prosthetics LLC | Durable Medical Equipment & Medical Supplies | 2 Industrial Park Drive, Suite A, Waldorf, MD 20602 | 2006-04-26 |
| 1043769169 | Medsource Orthotics & Prosthetics, Inc · Hamilton Prosthetics | Prosthetic/Orthotic Supplier | 13203 N 103rd Ave Ste J1&j2, Sun City, AZ 85351 | 2016-09-30 |
| 1629043047 | Precision Orthotics & Prosthetics · Pop Prosthetics | Durable Medical Equipment & Medical Supplies | 8915 S Pecos Rd, Suite 18a, Henderson, NV 89074-7149 | 2006-02-20 |
| 1144854506 | Next Step Bionics and Prosthetics, Inc. · Willowbrook Prosthetics and Orthotics | Prosthetic/Orthotic Supplier | 190 Hanover St, Lebanon, NH 03766-1020 | 2020-02-25 |
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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.