OrganizationActive
Bidiana Extensions LLC
NPI 1396435731 · Prosthetic/Orthotic Supplier · Staten Island, NY
Provider details
- NPI number
- 1396435731
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Abidemi Omoyefa, Ceo(718) 419-7399
Specialties & taxonomies
Suppliers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
1324 Forest Ave Ste 104
Staten Island, NY 10302-2044
Phone: (718) 419-7399
Fax: (631) 256-1353
Street-level locationGet directions
Mailing address
1324 Forest Ave Ste 104
Staten Island, NY 10302-2044
Registry dates
- Enumerated
- 2023-05-09
- Last updated
- 2023-05-09
- Certified
- 2023-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.