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PROTHOTIC LABORATORY, INC.
NPI 1376544718
Prosthetic/Orthotic Supplier in Farmingdale, NY

Active since August 09, 2005
2023 NEW HWY, FARMINGDALE, NY 11735(631) 753-4444(631) 753-4451 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 18, 2024, Sep 10, 2018 (2 updates tracked since 2018).

About Prothotic Laboratory, Inc. NPPES

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

PROTHOTIC LABORATORY, INC. (NPI 1376544718) is a healthcare organization registered as a prosthetic/orthotic supplier in Farmingdale, New York and active in the NPI registry since August 2005. The organization lists Charles J Quigg, Ceo, as its authorized official.

NPPES Registry Identity

NPI1376544718
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NamePROTHOTIC LABORATORY, INC.
Location Address2023 NEW HWYFarmingdale, NY 11735-1103
Mailing Address2023 New HwyFarmingdale, NY 11735-1103 · (631) 753-4444 · Fax (631) 753-4451
Phone(631) 753-4444
Fax(631) 753-4451
Organization SubpartNo
Authorized OfficialCharles J QuiggCeo · (631) 753-4444
Enumeration DateAugust 9, 2005
Last NPPES UpdateSeptember 18, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2024
✔ NPI 1376544718 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.
2023 NEW HWY, Farmingdale, NY 11735
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Other Identifiers 12

Medicaid01126865NY
OtherANC0027-01Americhoice
OtherA2559046Oxford Health Plan
Other8450582Aetna Non-hmo
Other1000002465Affinity Health Plan
Other000574766United Healthcare
Other3CO793Health Net (phs
Other57C0391Community Premier Plus
Other45797Aetna Hmo
OtherA32A0031Abc Health Plan
Other040810000002Fidelis Care
OtherG54141Empire Health Choice

Medical Equipment Supplier Medicare DMEPOS 5

Medicare supplier enrollment and the product categories Prothotic Laboratory Inc carries, from the Medicare DMEPOS supplier directory.

Prothotic Laboratory Inc

DMEPOS supplier · Farmingdale, NY
✔

Accepts Medicare assignment

Prothotic Laboratory Inc agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20653619
Medicare Participant SinceJanuary 1, 1998
Supplier Location2023 New HwyFarmingdale, NY 11735
Phone(631) 753-4444
Supplier Specialties
Orthotic Personnel Prosthetic Personnel

Medicare Product Categories

Orthoses: Custom Fabricated
Custom met pads, Custom heel pads, Custom heel spur pads
Orthoses: Prefabricated (Non-Custom Fabricated)
Met pads, Heel pads, Heel spur pads
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Facial Prostheses
Nasal prosthesis, Ocular Prosthesis, Upper-facial prosthesis
Limb Prostheses
Prosthetic arms, Prosthetic feet, Prosthetic knees
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Prothotic Laboratory, Inc.'s NPI number?

The NPI number for Prothotic Laboratory, Inc. is 1376544718. It was assigned to this organization in the NPPES registry on August 9, 2005.

Where is Prothotic Laboratory, Inc. located?

Prothotic Laboratory, Inc. is located at 2023 New Hwy, Farmingdale, NY 11735. The listed phone number is (631) 753-4444.

What is Prothotic Laboratory, Inc.'s specialty?

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

Does Prothotic Laboratory, Inc. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Prothotic Laboratory Inc accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Prothotic Laboratory, Inc. was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.