Advance Prosthetic And Orthotic INC
Prosthetist in Tenafly, NJ. Organization (NPI-2).
NPI number1750844239
StatusActive
Last updated in NPPESJul 25, 2023
Details
- NPI
- 1750844239
- Entity type
- Organization (NPI-2)
- Legal business name
- Advance Prosthetic And Orthotic INC
- Organization subpart
- No
- Enumeration date
- Apr 10, 2019
- Certification date
- Jul 25, 2023
- Last updated
- Jul 25, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224P00000X | Prosthetist | – | – | Yes |
| 222Z00000X | – | – |
Practice location
111 Dean DrTenafly, NJ 07670-2764
Phone 201-429-6960 · Fax 201-429-6961
Mailing address
51 Curtmantle RdMickleton, NJ 08056-1263
Phone 201-317-3442 · Fax 201-353-2343
Authorized official
Mathews Mancha
Director
2013173443
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