Elite Orthotics & Prosthetics LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

ELITE ORTHOTICS & PROSTHETICS LLC

Practice address

6 Industrial Way W Ste G21
Eatontown, NJ 07724-2268

Phone

(732) 795-0603

Fax

(848) 208-2514

NPI assigned

Jul 19, 2018

Organization subpart

No

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

Authorized official

Name

Michael Zentai

Title

Owner

Phone

(732) 795-0603

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

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

Locations

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1407332794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 INDUSTRIAL WAY W STE G21",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242268",
            "telephone_number": "732-795-0603",
            "fax_number": "848-208-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 INDUSTRIAL WAY W STE G21",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242268",
            "telephone_number": "732-795-0603",
            "fax_number": "848-208-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE ORTHOTICS & PROSTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-19",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "ZENTAI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-795-0603"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon T Edgeworth, LCSW
• Barry J Edison, D.O.
• Alice Eduwu
• Lynne Christine Einbinder, M.D.
• Scott R Eisenberg, DO
• Rosalind C Elliott, CNM
• Steven Lee Ellis, O.D.
• Floraine Emata-Pagcu, PT
• Empowered Learning Center of Monmouth
• Empowered Learning Center of Monmouth

• Prosthetic/Orthotic Supplier in Eatontown, NJ
• Providers in Eatontown, NJ by specialty
• Prosthetic/Orthotic Supplier in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.