1. Home
  2. Directory
  3. New York
  4. Bohemia
  5. Prosthetic Orthotic Supplier
  6. NPI Profile

PEGASUS DME INC
NPI 1053087064
Prosthetic/Orthotic Supplier in Bohemia, NY

Active since August 19, 2021
80 ORVILLE DR STE 100, BOHEMIA, NY 11716(516) 680-0433(877) 366-5492 Get Directions Write a Review

NPPES record last updated: August 19, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Pegasus Dme Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEGASUS DME INC (NPI 1053087064), doing business as National Brace, is a healthcare organization registered as a prosthetic/orthotic supplier in Bohemia, New York and active in the NPI registry since August 2021. The organization lists John Affenita, Ao, as its authorized official.

NPPES Registry Identity

NPI1053087064
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NamePEGASUS DME INC
Location Address80 ORVILLE DR STE 100Bohemia, NY 11716-2505
Mailing Address227 Gillette AveBayport, NY 11705-1881
Phone(516) 680-0433
Fax(877) 366-5492
Organization SubpartNo
Authorized OfficialJohn AffenitaAo · (516) 680-0433
Enumeration DateAugust 19, 2021
NPPES CertifiedJuly 13, 2021
✔ NPI 1053087064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition

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.

80 ORVILLE DR STE 100, Bohemia, NY 11716
Open in Google Maps ↗

Other Names 1

Doing Business AsNational Brace

Other Identifiers 1

Medicaid04998692NY

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IGVARA HOME CARE SERVICES, LLC
Home Health
80 ORVILLE DR STE 100
BOHEMIA, NY 11716
Suffolk County (631) 862-5252
HEALTH NEXUS INC
Durable Medical Equipment & Medical Supplies
80 ORVILLE DR STE 100
BOHEMIA, NY 11716
Suffolk County (212) 518-1272
CHERYL R. BUSCAGLIA, LICENSED MENTAL HEALTH COUNSELOR, PLLC
Counselor (Mental Health)
80 ORVILLE DR STE 100
BOHEMIA, NY 11716
Suffolk County (516) 308-6610
CHERYL R BUSCAGLIA LMHC
Counselor
80 ORVILLE DR STE 100
BOHEMIA, NY 11716
Suffolk County (516) 308-6610
MISS ASHLEY ANN VIAUD MHC
Counselor (Mental Health)
80 ORVILLE DR STE 100
BOHEMIA, NY 11716
Suffolk County (631) 562-5185
MS. CARLA DIAZ
Case Manager/Care Coordinator
80 ORVILLE DR STE 100
BOHEMIA, NY 11716
Suffolk County (631) 124-4143
SOMATUS IPA, LLC
Case Management
80 ORVILLE DR STE 100
BOHEMIA, NY 11716
Suffolk County (571) 992-0600
MR. PEDRO ANTONIO RAMOS
Case Manager/Care Coordinator
80 ORVILLE DR STE 100
BOHEMIA, NY 11716
Suffolk County (917) 406-8123

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pegasus Dme Inc's NPI number?

The NPI number for Pegasus Dme Inc is 1053087064. It was assigned to this organization in the NPPES registry on August 19, 2021. The provider is doing business as National Brace.

Where is Pegasus Dme Inc located?

Pegasus Dme Inc is located at 80 Orville Dr Ste 100, Bohemia, NY 11716. The listed phone number is (516) 680-0433.

What is Pegasus Dme Inc's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Pegasus Dme Inc was last updated on August 19, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.