Precious Orthotic & Diabetic Foot Wear, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PRECIOUS ORTHOTIC & DIABETIC FOOT WEAR, LLC

Practice address

6 Andrew St
Green Brook, NJ 08812-2504

Phone

(732) 752-8881

NPI assigned

Jun 23, 2011

Last updated

Jun 23, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ronald BassNPI 1477743011

Title

Certiied Shoe Fitter

Phone

(732) 752-8881

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ronald Bass

  • Durable Medical Equipment & Medical Supplies
  • Green Brook, NJ
  • NPI 1477743011
  NPD (past) Authorized official

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308787200000",
    "number": "1205122744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ANDREW STREET",
            "city": "GREEN BROOK",
            "state": "NJ",
            "postal_code": "08812",
            "telephone_number": "732-752-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 ANDREW ST",
            "city": "GREEN BROOK",
            "state": "NJ",
            "postal_code": "088122504",
            "telephone_number": "732-752-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECIOUS ORTHOTIC & DIABETIC FOOT WEAR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-23",
        "last_updated": "2011-06-23",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "CERTIIED SHOE FITTER",
        "authorized_official_telephone_number": "732-752-8881",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Bari Pilitzer, PA-C
• John Dominick Pilla, MD
• Israel R Plasner, O.D.
• Podiatry Associates of New Jersey LLC
• Paul J Popeck, DO
• Nitchelle Predvil, MS,OTR/L
• Prowise Dental Group LLC
• Ellen Rado, D.D.S
• Raymnd Lanza, DO (Raymond Lanza, DO)
• Thomas Reilly, DPT

• Durable Medical Equipment & Medical Supplies in Green Brook, NJ
• Providers in Green Brook, NJ by specialty
• Durable Medical Equipment & Medical Supplies in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.