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1902105505 NPI number — BRAY ORTHOTICS AND PROSTHETICS LLC

NPI Number: 1902105505
Health Care Provider/Practitioner: BRAY ORTHOTICS AND PROSTHETICS LLC

Information about “1902105505” NPI (BRAY ORTHOTICS AND PROSTHETICS LLC) exists in 1902105505 in HTML format HTML  |  1902105505 in plain Text format TXT  |  1902105505 in PDF (Portable Document Format) PDF  |  1902105505 in an XML format XML  formats.

NPI Number : 1902105505 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1902105505",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "BRAY ORTHOTICS AND PROSTHETICS LLC",
    "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": "217 OLD HOOK RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WESTWOOD",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07675-3130",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "201-666-6647",
    "MailingAddressFaxNumber": "201-666-5551",
    "FirstLinePracticeLocationAddress": "217 OLD HOOK RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WESTWOOD",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07675-3130",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "201-666-6647",
    "PracticeLocationAddressFaxNumber": "201-666-5551",
    "EnumerationDate": "03/22/2011",
    "LastUpdateDate": "03/22/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BRAY",
    "AuthorizedOfficialFirstName": "RICHARD",
    "AuthorizedOfficialMiddleName": "J",
    "AuthorizedOfficialTitle": "OWNER/DIRECTOR",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "CPO,CPED",
    "AuthorizedOfficialTelephoneNumber": "201-666-6647",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "335E00000X",
        "TaxonomyName": "Prosthetic/Orthotic Supplier",
        "LicenseNumber": "45P000014900",
        "LicenseNumberStateCode": "NJ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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