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

NPI Status: Active since August 09, 2005

Contact Information

2023 NEW HWY
FARMINGDALE, NY
ZIP 11735
Phone: (631) 753-4444
Fax: (631) 753-4451

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  • Organization
  • Prosthetic/Orthotic Supplier
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About PROTHOTIC LABORATORY, INC.

This page provides the complete NPI Profile along with additional information for Prothotic Laboratory, Inc., a provider established in Farmingdale, New York operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1376544718 assigned on August 2005. The practitioner's primary taxonomy code is 335E00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Charles J Quigg Cpo (Ceo)

NPI
1376544718
Provider Name
PROTHOTIC LABORATORY, INC.
Entity Type
Organization
Location Address
2023 NEW HWY FARMINGDALE, NY 11735
Location Phone
(631) 753-4444
Location Fax
(631) 753-4451
Mailing Address
2023 NEW HWY FARMINGDALE, NY 11735
Mailing Phone
(631) 753-4444
Mailing Fax
(631) 753-4451
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-09-2005
Last Update Date
09-18-2024
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Prothotic Laboratory, Inc. is a medicare supplier with PTAN 20653619 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Orthoses: Custom Fabricated or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf or Facial Prostheses or Limb Prostheses.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Prosthetic/Orthotic Supplier

Taxonomy Code
335E00000X
Type
Suppliers
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHARLES J QUIGG CPO

Authorized Official Title
CEO
Authorized Official Phone
(631) 753-4444

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
01126865MEDICAID (05)NY 
ANC0027-01OTHER (01)AMERICHOICE
A2559046OTHER (01)OXFORD HEALTH PLAN
8450582OTHER (01)AETNA NON-HMO
1000002465OTHER (01)AFFINITY HEALTH PLAN
000574766OTHER (01)UNITED HEALTHCARE
3CO793OTHER (01)HEALTH NET (PHS
57C0391OTHER (01)COMMUNITY PREMIER PLUS
45797OTHER (01)AETNA HMO
A32A0031OTHER (01)ABC HEALTH PLAN
040810000002OTHER (01)FIDELIS CARE
G54141OTHER (01)EMPIRE HEALTH CHOICE

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20653619
Accepts Medicare Assignment
YES
Specialities List
Orthotic Personnel, Prosthetic Personnel.
Competitive Bidding
NO

Supplies List

  • 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

Reviews for PROTHOTIC LABORATORY, INC.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1376544718
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23146104872
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 4 + 6 + 1 + 0 + 4 + 8 + 7 + 2 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1376544718 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376544718, enumerated in the NPI registry as an "organization" on August 09, 2005

The provider is located at 2023 New Hwy Farmingdale, Ny 11735 and the phone number is (631) 753-4444

This medical organization specializes in Prosthetic/Orthotic Supplier with taxonomy code 335E00000X

The provider might be accepting Accepts: Medicare, Medicaid, Oxford Health Plans and Aetna. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on August 09, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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