Bionic Prosthetics and Orthotics Group LLC
Organization Active NPI Prosthetic/Orthotic Supplier · North Brunswick, NJ
NPI 1427768274 · NPPES record last updated Dec 2, 2022
Key facts
- NPI
- 1427768274
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Prosthetic/Orthotic Supplier 335E00000X
- Legal business name
- BIONIC PROSTHETICS AND ORTHOTICS GROUP LLC
- Practice address
- 1950 RT 27 Suite G
North Brunswick, NJ 08902 - Phone
- (732) 951-0112
- Fax
- (732) 951-1727
- NPI assigned
- Dec 2, 2022
- Organization subpart
- No
Authorized official
- Name
- Sumesh Saxena
- Title
- Owner
- Phone
- (219) 791-9200
Corporate family (same tax ID) 32
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230109002135 | NJ | DME Supplier - Orthotic Personnel |
5890992523 | Practice locations: North Brunswick, NJ |
National Provider Directory
- Tax ID family
- Bionic Prosthetics and Orthotics Group LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Yes |
Addresses
Primary practice location
1950 RT 27 Suite G
North Brunswick, NJ 08902
Mailing address
3803 E Lincoln Hwy
Merrillville, IN 46410-5809
Phone (219) 791-9200
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.