OrganizationActiveAccepts Medicare
Shoe Pro Corp
NPI 1386660751 · Prosthetic/Orthotic Supplier · Flushing, NY
Enrolled with Medicare as Dme Supplier - Pedorthic Personnel · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1386660751
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Hong J Lee, President(718) 359-3348
- License
- 3105 (NY)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
14431 41st Ave
Suite # L6
Flushing, NY 11355-1459
Phone: (718) 359-3348
Fax: (718) 359-0388
Street-level locationGet directions
Mailing address
14431 41st Ave
Flushing, NY 11355-1459
Other names (DBA / former)
- Doing business as
- Tri State Orthopedic Footwear Center
Registry dates
- Enumerated
- 2006-07-15
- Last updated
- 2011-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.