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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Mr. Jan Pedersen, BOCO ORTHOTIST

Prosthetic/Orthotic Supplier in West Sand Lake, NY · enumerated 2007 · practices at Jan Pedersen.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1386866234

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Registry record

Entity type Individual (Type 1)
Name Mr. Jan Pedersen
Credential BOCO ORTHOTIST
Sex Male
Practice address West Sand Lake, NY, 12196
Phone (518) 674-3361
Fax (518) 674-8320
Enumeration date May 2, 2007
Last updated in NPPES Apr 24, 2008

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

335E00000X Prosthetic/Orthotic Supplier Suppliers Primary

Other identifiers

Identifier Type State Issuer
01755577 Medicaid NY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Jan Pedersen?
The National Provider Identifier (NPI) for Jan Pedersen is 1386866234, a Type 1 (individual) record in the CMS NPPES registry.
Where does Jan Pedersen practice?
The practice location on file with NPPES is in West Sand Lake, NY. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-04-24.