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PROSTHETICS LAB LTD LLC
NPI 1366032476
Prosthetic/Orthotic Supplier in Brooklyn, NY

Active since January 22, 2021
1115 CLARKSON AVE, BROOKLYN, NY 11212(718) 676-9016 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 21, 2026, Apr 13, 2026, Jan 22, 2021 (3 updates tracked since 2021).

About Prosthetics Lab Ltd Llc NPPES

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

PROSTHETICS LAB LTD LLC (NPI 1366032476) is a healthcare organization registered as a prosthetic/orthotic supplier in Brooklyn, New York and active in the NPI registry since January 2021. The organization lists Moshe Y Brooks, Owner, as its authorized official.

NPPES Registry Identity

NPI1366032476
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NamePROSTHETICS LAB LTD LLC
Location Address1115 CLARKSON AVEBrooklyn, NY 11212-2728
Mailing Address1115 Clarkson AveBrooklyn, NY 11212-2728 · (718) 676-9016
Phone(718) 676-9016
Organization SubpartNo
Authorized OfficialMoshe Y BrooksOwner · (718) 676-9016
Enumeration DateJanuary 22, 2021
Last NPPES UpdateApril 21, 20263 updates tracked since enumeration
NPPES CertifiedApril 21, 2026
✔ NPI 1366032476 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.
1115 CLARKSON AVE, Brooklyn, NY 11212
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Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prosthetics Lab Ltd Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20211006000679DME · Certified Orth/Pros/PedorthistDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

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 Prosthetics Lab Ltd LLC's NPI number?

The NPI number for Prosthetics Lab Ltd LLC is 1366032476. It was assigned to this organization in the NPPES registry on January 22, 2021.

Where is Prosthetics Lab Ltd LLC located?

Prosthetics Lab Ltd LLC is located at 1115 Clarkson Ave, Brooklyn, NY 11212. The listed phone number is (718) 676-9016.

What is Prosthetics Lab Ltd LLC's specialty?

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

Is Prosthetics Lab Ltd LLC enrolled in Medicare?

Yes. Prosthetics Lab Ltd LLC is registered in the Medicare PECOS enrollment system.

When is Prosthetics Lab Ltd LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (New York, Certified Orth/Pros/Pedorthist) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for Prosthetics Lab Ltd LLC was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.