ROCHESTER ORTHOPEDIC LABORATORIES INC. NPI 1225135205

NPI Information

NPI: 1225135205
Provider Name: ROCHESTER ORTHOPEDIC LABORATORIES, INC.
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization

CLIA Number: 33D0667336

Address:
300 AIRPARK DR
SUITE 100
ROCHESTER, NY
ZIP 14624
Phone: (585) 272-1060
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ROCHESTER ORTHOPEDIC LABORATORIES, INC. is a prosthetic orthotic supplier in Rochester, NY. The provider is 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. ROCHESTER ORTHOPEDIC LABORATORIES, INC. NPI is 1225135205. The provider is registered as an organization entity type.

The provider's business location address is:

300 AIRPARK DR
SUITE 100
ROCHESTER, NY
ZIP 14624-723
Phone: (585) 272-1060
Fax: (585) 272-0871

The provider's authorized official is Jennifer Moncrief .
The authorized official title is President and has the following contact phone number (585) 272-1060.

The CLIA number assigned to this NPI record is 33D0667336 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 11/1/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies				No
2	335E00000X	Prosthetic/Orthotic Supplier				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0447340002	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
2	00422808	MEDICAID	NEW YORK
3	VA528-14-D-0089	OTHER	NEW YORK	VA
4	0447340002	MEDICARE NSC	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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