Organization Active NPI

The Center for Orthotic & Prosthetics Services

  • Prosthetist
  • Union, NJ
National Provider Identifier
1114989365
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
45PO00012100 Issued in NJ
Legal business name
THE CENTER FOR ORTHOTIC & PROSTHETICS SERVICES
Practice address
1585 Morris Ave
Union, NJ 07083-6300
Phone
(908) 686-0838
Fax
(908) 686-3575
NPI assigned
Apr 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. John Michael Callaghan, L.P.O., C.O.
Title
President
Phone
(908) 686-0838

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OrthotistGroup: 193200000X MULTI-SPECIALTY GROUP 222Z00000X 45PO00012100 NJ
ProsthetistGroup: 193200000X MULTI-SPECIALTY GROUP 224P00000X 45PO00012100 NJ Primary

Addresses

Primary practice location

1585 Morris Ave
Union, NJ 07083-6300

Mailing address

1585 Morris Ave
Union, NJ 07083-6300
Phone (908) 686-0838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930035595 NJ DME Supplier - Orthotic PersonnelDME Supplier - Prosthetic Personnel 9234258138 Practice locations: Union, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
The Center for Orthotic and Prosthe1585 Morris Ave, Union, NJ 07083-6300(908) 686-0838 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

1585 Morris Ave
Ste A
Union, NJ 07083
Phone (908) 686-0838

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272499200000",
    "number": "1114989365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 MORRIS AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070836300",
            "telephone_number": "908-686-0838",
            "fax_number": "908-686-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 MORRIS AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070836300",
            "telephone_number": "908-686-0838",
            "fax_number": "908-686-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR ORTHOTIC & PROSTHETICS SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-04",
        "last_updated": "2010-04-29",
        "status": "A",
        "authorized_official_last_name": "CALLAGHAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-686-0838",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.P.O., C.O."
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthotist",
            "state": "NJ",
            "license": "45PO00012100",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prosthetist",
            "state": "NJ",
            "license": "45PO00012100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.