EASTSIDE ORTHOTICS AND PROSTHETICS, INC.
NPI 1982608493
Prosthetic/Orthotic Supplier in New York, NY

Q: What is Eastside Orthotics And Prosthetics, Inc.'s specialty?

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

Active since June 13, 2005

622 W 168TH ST, VC333, NEW YORK, NY 10032(212) 305-3275(212) 305-5927 Get Directions Write a Review

NPPES record last updated: September 19, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Eastside Orthotics And Prosthetics, Inc. NPPES

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

EASTSIDE ORTHOTICS AND PROSTHETICS, INC. (NPI 1982608493) is a healthcare organization registered as a prosthetic/orthotic supplier in New York, New York and active in the NPI registry since June 2005. The organization lists Matthew D Flynn, President, as its authorized official.

NPPES Registry Identity

NPI1982608493

Entity TypeOrganization

Primary Taxonomy335E00000X

Legal Business NameEASTSIDE ORTHOTICS AND PROSTHETICS, INC.

Location Address622 W 168TH ST, VC333New York, NY 10032

Mailing Address34 Commerce Dr, Suite 200Riverhead, NY 11901-3174 · (631) 727-8735 · Fax (631) 727-6834

Phone(212) 305-3275

Fax(212) 305-5927

Organization SubpartNo

Authorized OfficialMatthew D FlynnPresident · (631) 727-8735

Enumeration DateJune 13, 2005

Last NPPES UpdateSeptember 19, 2007

✔ NPI 1982608493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

622 W 168TH ST, New York, NY 10032

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Other Identifiers 2

Medicare NSC0317640002

Medicaid01052611NY

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Eastside Orthotics & Prosthetics carries, from the Medicare DMEPOS supplier directory.

Eastside Orthotics & Prosthetics

DMEPOS supplier · New York, NYOperated by Eschen Prosthetic & Orthotic Laboratories, Inc

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Does not accept Medicare assignment

Eastside Orthotics & Prosthetics has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20650661

Medicare Participant SinceJanuary 1, 1998

Supplier Location601 West 168th St Ste 24New York, NY 10032

Phone(212) 305-3275

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

Limb Prostheses

Prosthetic arms, Prosthetic feet, Prosthetic knees

Diabetic Shoes and Inserts

Shoes, Socks, Insoles

Diabetic Shoes/Inserts - Custom

Custom fabricated shoes, socks, & insoles

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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Other Providers at the Same Location NPPES 20

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

DR. PIETRO ALESSANDRO AMBROGIO CANETTA M.D.

Internal Medicine (Nephrology)

622 W 168TH ST, PH4-124
NEW YORK, NY 10032

New York County (212) 305-5020

CHARLES D RESOR

Internal Medicine