Organization Active NPI

Joseph Chorba Jr TLC Orthotics and Prosthetics

  • Prosthetist
  • Bordentown, NJ
National Provider Identifier
1407368426
Registry record updated Oct 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
45PO00006900 Issued in NJ
Legal business name
JOSEPH CHORBA JR TLC ORTHOTICS AND PROSTHETICS
Practice address
163 Route 130 Ste D
Bordentown, NJ 08505-2248
Phone
(609) 379-6453
Fax
(609) 379-6754
NPI assigned
Oct 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2017

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

Authorized official

Name
Joseph Chorba Jr., LPO
Title
Ceo, President
Phone
(609) 379-6453

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OrthotistGroup: 193200000X MULTI-SPECIALTY GROUP 222Z00000X 45PO00006900 NJ
ProsthetistGroup: 193200000X MULTI-SPECIALTY GROUP 224P00000X 45PO00006900 NJ Primary

Addresses

Primary practice location

163 Route 130 Ste D
Bordentown, NJ 08505-2248

Mailing address

163 Route 130 Ste D
Bordentown, NJ 08505-2248
Phone (609) 379-6453

National Provider Directory

National Provider Directory

Locations

163 Route 130
Ste D
Bordentown, NJ 08505
Phone (609) 379-6453

NPI Registry JSON

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

{
    "created_epoch": "1509408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509408000000",
    "number": "1407368426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 ROUTE 130 STE D",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085052248",
            "telephone_number": "609-379-6453",
            "fax_number": "609-379-6754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 ROUTE 130 STE D",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085052248",
            "telephone_number": "609-379-6453",
            "fax_number": "609-379-6754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH CHORBA JR TLC ORTHOTICS AND PROSTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-31",
        "last_updated": "2017-10-31",
        "status": "A",
        "authorized_official_last_name": "CHORBA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO, PRESIDENT",
        "authorized_official_telephone_number": "609-379-6453",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LPO"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthotist",
            "state": "NJ",
            "license": "45PO00006900",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prosthetist",
            "state": "NJ",
            "license": "45PO00006900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bordentown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2017; 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.