OrganizationActive
Pegasus Dme Inc
NPI 1053087064 · Prosthetic/Orthotic Supplier · Bohemia, NY
Pegasus Dme Inc is a Prosthetic/Orthotic Supplier organization in Bohemia, NY (NPI 1053087064).
Provider details
- NPI number
- 1053087064
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- John Affenita, Ao(516) 680-0433
Specialties & taxonomies
Suppliers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
80 Orville Dr Ste 100
Bohemia, NY 11716-2505
Phone: (516) 680-0433
Fax: (877) 366-5492
Street-level locationGet directions
Mailing address
227 Gillette Ave
Bayport, NY 11705-1881
Other names (DBA / former)
- Doing business as
- National Brace
Registry dates
- Enumerated
- 2021-08-19
- Last updated
- 2021-08-19
- Certified
- 2021-07-13
Frequently asked questions
- What is Pegasus Dme Inc's NPI number?
- Pegasus Dme Inc's National Provider Identifier (NPI) is 1053087064, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pegasus Dme Inc?
- Pegasus Dme Inc is classified in the NPPES registry as Prosthetic/Orthotic Supplier (Suppliers).
- Where is Pegasus Dme Inc located?
- Pegasus Dme Inc's practice location on file with NPPES is 80 Orville Dr Ste 100, Bohemia, NY 11716-2505.
- What is Pegasus Dme Inc's phone number?
- The practice phone number listed in the NPPES registry for Pegasus Dme Inc is (516) 680-0433.
- Who is the authorized official for Pegasus Dme Inc?
- The authorized official listed on Pegasus Dme Inc's NPPES record is John Affenita, Ao. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pegasus Dme Inc's NPI active?
- Yes — Pegasus Dme Inc's NPI (1053087064) is active in the NPPES registry as of the last update on 2021-08-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.