DIVERSIFIED ORTHOTICS NPI 1649444100

NPI Information

  • NPI: 1649444100
  • Provider Name: DIVERSIFIED ORTHOTICS
  • Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
  • Specialization: Customized Equipment
  • Entity Type: Organization
  • Address: 3146 E TREMONT AVE
    BRONX, NY
    ZIP 10461
  • Phone: (718) 409-6280

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NPI Details

DIVERSIFIED ORTHOTICS is a customized equipment durable medical equipment medical supplies in Bronx, NY. DIVERSIFIED ORTHOTICS NPI is 1649444100. The provider is registered as an organization entity type.

The provider's business location address is:

3146 E TREMONT AVE
BRONX, NY
ZIP 10461-706
Phone: (718) 409-6280
Fax: (718) 409-4110

The provider's authorized official is Louis Alfred Rose .
The authorized official title is Orthotist and has the following contact phone number (718) 409-6280.

The enumeration date for this NPI number is 4/16/2008 and was last updated on 10/7/2021.

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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentYes

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
101488857MEDICAIDNEW YORK
20870060001OTHERNEW YORKMEDICARE

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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