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Contact Information

ORTHOTIC PROSTHETIC ASSOCIATES, INC.
2105 WEST COUNTY LINE ROAD
SUITE 9
JACKSON, NJ08527
 Phone: 732-905-9020
 Fax: 732-905-9088
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthetic/Orthotic Supplier

335E00000X 51 Medical Supply Company with Orthotist
Indicates primary specialty

NPI Profile & details for ORTHOTIC PROSTHETIC ASSOCIATES, INC.

NPI Number 1083631931
LBN Legal business name ORTHOTIC PROSTHETIC ASSOCIATES, INC.
Authorized official RICHARD MANFREDI - (PRESIDENT/CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/16/2006
Last updated 03/19/2009 - About 17 years ago
Identifiers
NJ License # 45PO00004400
NJ Medicaid 9036105
NJ Other 0005089743 AETNA
NJ Other 9615438 CIGNA
NJ Other NL2966 HEALTHNET
NJ Other 1111538 HORIZON NJ HEALTH
NJ Other 57609 NORTHWOOD
NJ Other 39784 UHP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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