Organization Active NPI

Optimal Orthopedic Products, LLC

  • Durable Medical Equipment & Medical Supplies
  • West Berlin, NJ
National Provider Identifier
1386909471
Registry record updated Jul 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
OPTIMAL ORTHOPEDIC PRODUCTS, LLC
Practice address
215 Edgewood Ave
West Berlin, NJ 08091-2615
Phone
(856) 809-9910
Fax
(856) 809-9945
NPI assigned
Jul 5, 2012
Organization subpart
Yes
Parent organization
PRO-FIT PROSTHETIC AND ORTHOTIC, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 17, 2012

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

Authorized official

Name
Mr. Daniel M Dalsey, B.S., C.PED
Title
Owner, C.Ped, Office Manager
Phone
(856) 809-9910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

215 Edgewood Ave
West Berlin, NJ 08091-2615

Mailing address

215 Edgewood Ave
West Berlin, NJ 08091-2615
Phone (856) 809-9910

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342483200000",
    "number": "1386909471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 EDGEWOOD AVE",
            "city": "WEST BERLIN",
            "state": "NJ",
            "postal_code": "080912615",
            "telephone_number": "856-809-9910",
            "fax_number": "856-809-9945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 EDGEWOOD AVE",
            "city": "WEST BERLIN",
            "state": "NJ",
            "postal_code": "080912615",
            "telephone_number": "856-809-9910",
            "fax_number": "856-809-9945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL ORTHOPEDIC PRODUCTS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRO-FIT PROSTHETIC AND ORTHOTIC, LLC",
        "enumeration_date": "2012-07-05",
        "last_updated": "2012-07-17",
        "status": "A",
        "authorized_official_last_name": "DALSEY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER, C.PED, OFFICE MANAGER",
        "authorized_official_telephone_number": "856-809-9910",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.S., C.PED"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Berlin, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; 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.