JK PROSTHETICS AND ORTHOTICS NPI 1619043932

NPI Information

NPI: 1619043932
Provider Name: JK PROSTHETICS AND ORTHOTICS
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Specialization: Customized Equipment
Entity Type: Organization
Address: 699 N MACQUESTEN PKWY
MOUNT VERNON, NY
ZIP 10552
Phone: (914) 699-2077

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NPI Details

JK PROSTHETICS AND ORTHOTICS is a customized equipment durable medical equipment medical supplies in Mount Vernon, NY. JK PROSTHETICS AND ORTHOTICS NPI is 1619043932. The provider is registered as an organization entity type.

The provider's business location address is:

699 N MACQUESTEN PKWY
MOUNT VERNON, NY
ZIP 10552-121
Phone: (914) 699-2077
Fax: (914) 699-0676

The provider's authorized official is Michael James Caputo .
The authorized official title is Manager and has the following contact phone number (914) 699-2077.

The enumeration date for this NPI number is 11/28/2006 and was last updated on 12/29/2008.

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	0187070001	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: 3/30/2025

NPI Synchronization or Removal

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