NPI Code Detail JSON Logo

1750844239 NPI number — ADVANCE PROSTHETIC AND ORTHOTIC INC

NPI Number: 1750844239
Health Care Provider/Practitioner: ADVANCE PROSTHETIC AND ORTHOTIC INC

Information about “1750844239” NPI (ADVANCE PROSTHETIC AND ORTHOTIC INC) exists in 1750844239 in HTML format HTML  |  1750844239 in plain Text format TXT  |  1750844239 in PDF (Portable Document Format) PDF  |  1750844239 in an XML format XML  formats.

NPI Number : 1750844239 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1750844239",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ADVANCE PROSTHETIC AND ORTHOTIC INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "51 CURTMANTLE RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MICKLETON",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "08056-1263",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "201-317-3442",
    "MailingAddressFaxNumber": "201-353-2343",
    "FirstLinePracticeLocationAddress": "111 DEAN DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TENAFLY",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07670-2764",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "201-429-6960",
    "PracticeLocationAddressFaxNumber": "201-429-6961",
    "EnumerationDate": "04/10/2019",
    "LastUpdateDate": "07/25/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MANCHA",
    "AuthorizedOfficialFirstName": "MATHEWS",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "DIRECTOR",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "201-317-3443",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "222Z00000X",
          "TaxonomyName": "Orthotist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "224P00000X",
          "TaxonomyName": "Prosthetist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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