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Organization Active NPI

Jefferson Orthotics & Prosthetics LLC

  • Prosthetic/Orthotic Supplier
  • Marrero, LA
National Provider Identifier
1295797090
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
435810 Issued in LA
Legal business name
JEFFERSON ORTHOTICS & PROSTHETICS LLC
Doing business as
Jefferson Orthotics & Prosthetics LLC
Practice address
909 Avenue C
Marrero, LA 70072-3123
Phone
(504) 347-2324
Fax
(504) 347-2341
NPI assigned
Apr 5, 2006
Last updated
Dec 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

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

Authorized official

Name
Mr. Joseph B. Sunseri Jr.
Title
President
Phone
(504) 347-2324

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 435810 LA
Customized Equipment (DME) 332BC3200X 435810 LA
Prosthetic/Orthotic Supplier 335E00000X 435810 LA Primary

Addresses

Primary practice location

909 Avenue C
Marrero, LA 70072-3123

Mailing address

909 Avenue C
Marrero, LA 70072-3123
Phone (504) 347-2324

Other identifiers 1

IdentifierTypeStateIssuer
1959821MedicaidLA

Other names 1

  • Jefferson Orthotics & Prosthetics LLC Doing business as

National Provider Directory

National Provider Directory

Locations

909 Avenue C
Marrero, LA 70072
Phone (504) 383-7448

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449619200000",
    "number": "1295797090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 AVENUE C",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723123",
            "telephone_number": "504-347-2324",
            "fax_number": "504-347-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 AVENUE C",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723123",
            "telephone_number": "504-347-2324",
            "fax_number": "504-347-2341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON ORTHOTICS & PROSTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2015-12-09",
        "status": "A",
        "authorized_official_last_name": "SUNSERI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "504-347-2324",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "LA",
            "license": "435810",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "LA",
            "license": "435810",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "LA",
            "license": "435810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1959821",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jefferson Orthotics & Prosthetics LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marrero, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; 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.