OrganizationActive
Jan Pedersen
NPI 1104007442 · Prosthetic/Orthotic Supplier · West Sand Lake, NY
Jan Pedersen is a Prosthetic/Orthotic Supplier organization in West Sand Lake, NY (NPI 1104007442).
Provider details
- NPI number
- 1104007442
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Jan Pedersen, Owner(518) 674-3361
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
23 Algonquin Rd
West Sand Lake, NY 12196-2000
Phone: (518) 674-3361
Fax: (518) 674-8320
Street-level locationGet directions
Mailing address
23 Algonquin Rd
West Sand Lake, NY 12196-2000
Registry dates
- Enumerated
- 2007-11-15
- Last updated
- 2007-11-15
Frequently asked questions
- What is Jan Pedersen's NPI number?
- Jan Pedersen's National Provider Identifier (NPI) is 1104007442, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jan Pedersen?
- Jan Pedersen is classified in the NPPES registry as Prosthetic/Orthotic Supplier (Suppliers).
- Where is Jan Pedersen located?
- Jan Pedersen's practice location on file with NPPES is 23 Algonquin Rd, West Sand Lake, NY 12196-2000.
- What is Jan Pedersen's phone number?
- The practice phone number listed in the NPPES registry for Jan Pedersen is (518) 674-3361.
- Who is the authorized official for Jan Pedersen?
- The authorized official listed on Jan Pedersen's NPPES record is Jan Pedersen, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jan Pedersen's NPI active?
- Yes — Jan Pedersen's NPI (1104007442) is active in the NPPES registry as of the last update on 2007-11-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.