EMPIRE STATE PROSTHETICS INC. NPI 1255517785

NPI Information

NPI: 1255517785
Provider Name: EMPIRE STATE PROSTHETICS, INC.
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Specialization: Customized Equipment
Entity Type: Organization
Address: 164B LONG BEACH RD
ISLAND PARK, NY
ZIP 11558
Phone: (516) 378-0975

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NPI Details

EMPIRE STATE PROSTHETICS, INC. is a customized equipment durable medical equipment medical supplies in Island Park, NY. EMPIRE STATE PROSTHETICS, INC. NPI is 1255517785. The provider is registered as an organization entity type.

The provider's business location address is:

164B LONG BEACH RD
ISLAND PARK, NY
ZIP 11558-512
Phone: (516) 378-0975

The provider's authorized official is Robert J Traut .
The authorized official title is Certified Prosthetist and has the following contact phone number (516) 378-0975.

The enumeration date for this NPI number is 1/15/2008 and was last updated on 3/11/2008.

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	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment			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	02915415	MEDICAID	NEW YORK
2	5771640001	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: 11/21/2025

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