GARDEN STATE ORTHOPAEDIC INC. NPI 1962404350

NPI Information

NPI: 1962404350
Provider Name: GARDEN STATE ORTHOPAEDIC, INC.
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
95 MOUNT KEMBLE AVE
ANNEX BUILDING
MORRISTOWN, NJ
ZIP 07960
Phone: (973) 538-4948
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GARDEN STATE ORTHOPAEDIC, INC. is a prosthetic orthotic supplier in Morristown, 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. GARDEN STATE ORTHOPAEDIC, INC. NPI is 1962404350. The provider is registered as an organization entity type.

The provider's business location address is:

95 MOUNT KEMBLE AVE
ANNEX BUILDING
MORRISTOWN, NJ
ZIP 07960-155
Phone: (973) 538-4948
Fax: (973) 605-8481

The provider's authorized official is Louis J. Haberman .
The authorized official title is President and has the following contact phone number (973) 538-4948.

The enumeration date for this NPI number is 8/15/2005 and was last updated on 8/17/2018.

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
1	335E00000X	Prosthetic/Orthotic Supplier			NEW JERSEY	Yes

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
1	3897206-01	MEDICAID	NEW JERSEY
2	#36877	OTHER	NEW JERSEY	AETNA PROVIDER NUMBER
3	=========	OTHER	NEW JERSEY	HORIZON BCBS PROVIDER NO.

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: 11/14/2023

NPI Synchronization or Removal

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