Somerset Prosthetics and Orthotics Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

SOMERSET PROSTHETICS AND ORTHOTICS INC

Practice address

56 W Union Ave
Bound Brook, NJ 08805-1716

Phone

(732) 560-2830

Fax

(732) 560-2832

NPI assigned

Nov 7, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Glen Adam Honcharik, CP

Title

President

Phone

(732) 560-2830

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467521021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 W UNION AVE",
            "city": "BOUND BROOK",
            "state": "NJ",
            "postal_code": "088051716",
            "telephone_number": "732-560-2830",
            "fax_number": "732-560-2832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 W UNION AVE",
            "city": "BOUND BROOK",
            "state": "NJ",
            "postal_code": "088051716",
            "telephone_number": "732-560-2830",
            "fax_number": "732-560-2832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMERSET PROSTHETICS AND ORTHOTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HONCHARIK",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-560-2830",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CP"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0506861",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "8427791",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5495300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie L Simmons, LSW
• Susan M Slater, MPT,OCS
• Peter Smith
• Renee A Smythe, LCSW
• Douglas Soden, MD
• Special Abilities Global Network
• Station Pharmacy LLC
• Zora Stefanovski, D.M.D
• Mia Tanya Stula Kellam, LAC
• Lynn S Taylor, LSW

• Prosthetic/Orthotic Supplier in Bound Brook, NJ
• Providers in Bound Brook, 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 Aug 22, 2020; 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.