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1972344372 NPI number — NJ CUSTOM BRACING

NPI Number: 1972344372
Health Care Provider/Practitioner: NJ CUSTOM BRACING

Information about “1972344372” NPI (NJ CUSTOM BRACING) exists in 1972344372 in HTML format HTML  |  1972344372 in plain Text format TXT  |  1972344372 in PDF (Portable Document Format) PDF  |  1972344372 in an XML format XML  formats.

NPI Number : 1972344372 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1972344372",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "NJ CUSTOM BRACING",
    "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": "30 N GOULD ST STE R",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SHERIDAN",
    "MailingAddressStateName": "WY",
    "MailingAddressPostalCode": "82801-6317",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "47 HAMBURG TPKE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RIVERDALE",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07457-1127",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "973-874-9777",
    "PracticeLocationAddressFaxNumber": "973-341-7791",
    "EnumerationDate": "06/03/2024",
    "LastUpdateDate": "06/03/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ATZMON",
    "AuthorizedOfficialFirstName": "JACK",
    "AuthorizedOfficialMiddleName": "A",
    "AuthorizedOfficialTitle": "AUTHORIZED INDIVIDUAL",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DC",
    "AuthorizedOfficialTelephoneNumber": "973-874-9777",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "332B00000X",
          "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "332BC3200X",
          "TaxonomyName": "Customized Equipment (DME)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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