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PRECISION SHOE BRACE & LIMBS LLC NPI 1255582128


NPI Information

NPI: 1255582128
Provider Name: PRECISION SHOE BRACE & LIMBS LLC

Former Legal Business Name: PRECISION SHOE BRACE & LIMBS LLC

Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
618 W ELIZABETH AVE
LINDEN, NJ
ZIP 07036
Phone: (908) 486-8636
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PRECISION SHOE BRACE & LIMBS LLC is a prosthetic orthotic supplier in Linden, NJ. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. PRECISION SHOE BRACE & LIMBS LLC NPI is 1255582128. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Precision Shoe Brace & Limbs Llc.

The provider's business location address is:

618 W ELIZABETH AVE
LINDEN, NJ
ZIP 07036-240
Phone: (908) 486-8636
Fax: (908) 523-0036

The provider's authorized official is Paul D Goodman .
The authorized official title is President and has the following contact phone number (908) 486-8636.

The enumeration date for this NPI number is 10/9/2008 and was last updated on 5/24/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1335E00000XProsthetic/Orthotic Supplier45PO00007500NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10208272MEDICAIDNEW JERSEY
203331431MEDICAIDNEW YORK
36411010001MEDICARE NSCNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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