Healthcare Provider Details
I. General information
NPI: 1912832312
Provider Name (Legal Business Name): JOINTCARE ORTHOTICS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
351 VAN NOSTRAND AVE
JERSEY CITY NJ
07305-1308
US
IV. Provider business mailing address
351 VAN NOSTRAND AVE
JERSEY CITY NJ
07305-1308
US
V. Phone/Fax
- Phone: 718-915-4906
- Fax:
- Phone: 718-915-4906
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MUSHAHID
KHAN
Title or Position: DIRECTOR
Credential:
Phone: 718-915-4906