NPIMap

Organization Active NPI

Atlantic Prosthetic & Orthotic

Doing business as Atpro

  • Prosthetic/Orthotic Supplier
  • Berlin, NJ
National Provider Identifier
1396146387
Registry record updated Sep 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
ATLANTIC PROSTHETIC & ORTHOTIC
Doing business as
Atpro
Practice address
69 Clementon Rd
Berlin, NJ 08009-1369
Phone
(609) 927-6330
Fax
(609) 927-6366
NPI assigned
Sep 9, 2014
Last updated
Sep 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2014

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

Authorized official

Name
Mr. Paul L Rutledge, CO/BOCONPI 1366983181
Title
Administrator
Phone
(609) 364-5001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X NU Primary

Addresses

Primary practice location

69 Clementon Rd
Berlin, NJ 08009-1369

Mailing address

199 New Rd
Suite 57
Linwood, NJ 08221-2025
Phone (609) 927-6330

Other identifiers 1

IdentifierTypeStateIssuer
5417406MedicaidNJ

Other names 1

  • ATPRO Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Atlantic Prosthetic Orthotic Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

69 Clementon Rd
Berlin, NJ 08009
Phone (609) 927-6330

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410220800000",
    "number": "1396146387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 NEW RD",
            "address_2": "SUITE 57",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082212025",
            "telephone_number": "609-927-6330",
            "fax_number": "609-927-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 CLEMENTON RD",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "080091369",
            "telephone_number": "609-927-6330",
            "fax_number": "609-927-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC PROSTHETIC & ORTHOTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-09",
        "last_updated": "2014-09-09",
        "status": "A",
        "authorized_official_last_name": "RUTLEDGE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "609-364-5001",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CO/BOCO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5417406",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ATPRO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Berlin, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; 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.