Healthcare Provider Details

I. General information

NPI: 1215848742
Provider Name (Legal Business Name): JOYNER CO CRANIAL PROSTHETICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 N MAIN ST STE B2ND
RANDOLPH MA
02368-6700
US

IV. Provider business mailing address

500 N MAIN ST STE B2ND
RANDOLPH MA
02368-6700
US

V. Phone/Fax

Practice location:
  • Phone: 781-732-5158
  • Fax:
Mailing address:
  • Phone: 781-732-5158
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: JAZMINE JOYNER
Title or Position: CRANIAL PROSTHETICS SPECIALIST
Credential:
Phone: 339-987-2496