Bayonne Ortho Fitting LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BAYONNE ORTHO FITTING LLC

Practice address

914 Broadway Ofc
Bayonne, NJ 07002-3034

Phone

(201) 471-2221

Fax

(201) 471-7799

NPI assigned

Jul 5, 2016

Organization subpart

No

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

Authorized official

Name

Madhat S AminNPI 1548617525

Title

Owner

Phone

(201) 471-7800

Specialties & licenses 1

Addresses

Other names 1

• Bayonne medical supply Former legal business name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Bayonne Ortho Fitting LLC

  • Durable Medical Equipment & Medical Supplies
  • Elizabeth, NJ
  • NPI 1154003515

  6901238005

  Same PAC ID

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

Tax ID family

Bayonne Ortho Fitting LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bayonne Ortho Fitting LLC

  • Durable Medical Equipment & Medical Supplies
  • Elizabeth, NJ
  • NPI 1154003515
  NPD tax ID

Practitioners 1

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

• Madhat S Amin I

  • Durable Medical Equipment & Medical Supplies
  • Bayonne, NJ
  • NPI 1548617525
  NPD (past) Authorized official

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561680000000",
    "number": "1366894271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 BROADWAY OFC",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023034",
            "telephone_number": "201-471-2221",
            "fax_number": "201-471-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 BROADWAY OFC",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023034",
            "telephone_number": "201-471-2221",
            "fax_number": "201-471-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYONNE ORTHO FITTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-05",
        "last_updated": "2019-06-28",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "MADHAT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-471-7800"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Ortho.fitting@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "914 Broadway Ofc",
            "city": "Bayonne",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070023034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Bayonne Medical supply",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bayonne medical supply",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Bayonne Pharmacy Inc

• Durable Medical Equipment & Medical Supplies in Bayonne, NJ
• Providers in Bayonne, 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 28, 2019; 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.