GIBRALTAR ORTHOTICS INC (NPI# 1851355994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851355994 |
| Entity Type | Organization |
| Organization Name | GIBRALTAR ORTHOTICS INC |
| Practice Address |
91 E Central Ave Pearl River NY 10965 |
| Practice Telephone | 8456201188 |
| Practice Fax Number | 8456201180 |
| Mailing Telephone | 8456201188 |
| Mailing Fax Number | 8456201180 |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2020-01-22 |
| Authorized Official Name | MR. DANIEL SCISCENTE (VICE PRESIDENT ABC CERTIFIED OFFICE) |
| Authorized Official Telephone | 8456201188 |
| Authorized Official Credential | C.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter | 0000036680 | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00978845 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Alhambra Plz Ph Floor, Coral Gables, FL 331345216 | 8456201188 | 8456201180 |
| Street Address |
91 E CENTRAL AVE |
| City | PEARL RIVER |
| State | NY |
| Zip Code | 10965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467967331 | Alenka Ravnik List Rdn Pllc | Dietitian, Registered | 9 Violet Dr, Pearl River, NY 10965 | 2017-12-13 |
| 1427577212 | Jacqueline Dubil Craig | Behavioral Analyst | 14 Elmendorf Lane, Pearl River, NY 10965 | 2017-09-13 |
| 1356770481 | Jennifer Marie Manfredonia | Nurse Practitioner | 200 N. Middletown Road, Pearl River, NY 10965 | 2013-11-08 |
| 1760822852 | Elizabeth Eanniello | Social Worker | 49 Meadows Street, Pearl River, NY 10965 | 2013-07-03 |
| 1679874002 | Winifred Ann Convery | Physical Therapy Assistant | 644 Orangeburg Ave, A Starting Place, Pearl River, NY 10965 | 2010-11-17 |
| 1548413511 | R Troy Q Noval | Physical Therapist | 195 Townline Rd, Pearl River, NY 10965 | 2008-11-03 |
| 1306068671 | Helen Perakis | Otolaryngology | 150 S. Pearl Street, Pearl River, NY 10965 | 2007-05-03 |
| 1609906700 | Robert Daniel Jablonski Jr. | Otolaryngology | 26 Franklin Avenue, Pearl River, NY 10965 | 2007-03-07 |
| 1265599187 | Bruce L. Rothschild Dds & Associates Pllc | Dentist | 300 N Middletown Rd., Suite 9, Pearl River, NY 10965 | 2007-01-02 |
| 1619038221 | Stefan P Kurucz | Internal Medicine | 300 North Middletown Road, Suite 11, Pearl River, NY 10965 | 2006-12-13 |
| Find all providers in zip 10965 | ||||
| Taxonomy Code | 225000000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotic Fitter |
| An individual trained in the management of fitting prefabricated orthoses. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689140576 | Anthony Cipriano | Orthotic Fitter | 130 Orinoco Dr, Brightwaters, NY 11718-1121 | 2018-10-17 |
| 1982065033 | Itamar Rosenbaum | Orthotic Fitter | 2102 63rd St, Brooklyn, NY 11204-3058 | 2016-03-17 |
| 1114395464 | Alejandro Aguilar | Orthotic Fitter | 314 Mccall Rd, Rochester, NY 14616 | 2015-09-03 |
| 1538489745 | Laura Bullinger | Orthotic Fitter | 4 David St, Middletown, NY 10940-2302 | 2010-06-10 |
| 1144552142 | Necuma Schaffer | Orthotic Fitter | 683 Bedford Ave., #3, Brooklyn, NY 11206 | 2010-02-02 |
| 1538498514 | Michael Feder | Orthotic Fitter | 3063 Brighton 13th St, Brooklyn, NY 11235-5607 | 2009-12-21 |
| 1568655454 | Alex Iskhakov | Orthotic Fitter | 3922 18th Ave, Brooklyn, NY 11218-5804 | 2007-08-23 |
| 1548467665 | Arthur Smuckler | Orthotic Fitter | 1659 Central Ave, Suite 113, Albany, NY 12205-4039 | 2007-07-02 |
| 1508068107 | Russell Shvartsshteyn | Orthotic Fitter | 1040 Channel Dr, Hewlett, NY 11557-2617 | 2007-06-05 |
| 1659414829 | Shirley Ann Dickinson | Orthotic Fitter | 1355 State Highway 345, Potsdam, NY 13676-9658 | 2007-02-15 |
| Find all providers with the same taxonomy | ||||
| City | PEARL RIVER |
| Zip Code | 10965 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.