Organization Active NPI

Orthoenglewood Bracing LLC

  • Durable Medical Equipment & Medical Supplies
  • Englewood, NJ
National Provider Identifier
1215761580
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ORTHOENGLEWOOD BRACING LLC
Practice address
34 S Dean St Ste 202
Englewood, NJ 07631-3515
Phone
(551) 369-1250
Fax
(551) 369-1199
NPI assigned
Aug 29, 2024
Last updated
Aug 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Authorized official

Name
Dr. Thomas Youm, MD
Title
Partner
Phone
(551) 369-1250

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary
Orthopaedic Surgery Physician 207X00000X NU

Addresses

Primary practice location

34 S Dean St Ste 202
Englewood, NJ 07631-3515

Mailing address

34 S Dean St Ste 202
Englewood, NJ 07631-3515
Phone (551) 369-1250

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1724889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1215761580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 S DEAN ST STE 202",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076313515",
            "telephone_number": "551-369-1250",
            "fax_number": "551-369-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 S DEAN ST STE 202",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076313515",
            "telephone_number": "551-369-1250",
            "fax_number": "551-369-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOENGLEWOOD BRACING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-29",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "YOUM",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "551-369-1250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.