MEDICARE: NEW ENGLAND ORTHOTIC & PROSTHETIC SYSTEMS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	335E00000X	Prosthetic/Orthotic Supplier

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568404127
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW ENGLAND ORTHOTIC & PROSTHETIC SYSTEMS, LLC

Provider Business Mailing Address
First Line	:	16 COMMERCIAL ST
Second Line	:
City	:	BRANFORD
State	:	CT
Zip	:	06405-2801
Country	:	US
Telephone Number	:	203-483-8488
Fax Number	:	203-483-6085

Provider Business Practice Location Address
First Line	:	235 EAST 38TH STREET
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10016-2709
Country	:	US
Telephone Number	:	212-682-9313
Fax Number	:	212-682-9318

Authorized Official
Title or Position	:	CEO
Name	:	MR. DAVID MAHLER
Credential	:	CPO
Telephone Number	:	203-483-8488

Provider Enumeration Date	:	06/11/2006
Last Update Date	:	09/12/2016

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