Organization Active NPI

Modern Limb & Brace Co.

  • Prosthetic/Orthotic Supplier
  • Watchung, NJ
National Provider Identifier
1487608311
Registry record updated Nov 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
MODERN LIMB & BRACE CO.
Practice address
916 Somerset St
Watchung, NJ 07069-6305
Phone
(908) 757-2702
Fax
(908) 757-0744
NPI assigned
May 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2012

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

Authorized official

Name
Mr. Horst Oertel, C.P.NPI 1851398390
Title
Owner
Phone
(908) 757-2702

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 Primary

Addresses

Primary practice location

916 Somerset St
Watchung, NJ 07069-6305

Mailing address

916 Somerset St
Watchung, NJ 07069-6305
Phone (908) 757-2702

Other identifiers 13

IdentifierTypeStateIssuer
2758OtherNJLIBERTY HEALTH PLANS
555663OtherNJPMSI
0003963000OtherNJAMERIHEALTH
SO000006600OtherNJAMERICHOICE
2K1884OtherNJHEALTHNET
040045OtherNJAETNA
10540304OtherNJGUARDIAN
2784203MedicaidNJ
1066390OtherNJHORIZON NJ HEALTH
1487608311OtherNJHORIZON BCBS
260248900OtherNJACS - US DEPT LABOR
260248900OtherNJSTATE OF NJ - WORKERS COMP
A522677OtherNJOXFORD

National Provider Directory

National Provider Directory

Locations

916 Somerset St
Watchung, NJ 07069
Phone (908) 688-1818

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353456000000",
    "number": "1487608311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 SOMERSET ST",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070696305",
            "telephone_number": "908-757-2702",
            "fax_number": "908-757-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 SOMERSET ST",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070696305",
            "telephone_number": "908-757-2702",
            "fax_number": "908-757-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN LIMB & BRACE CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2012-11-21",
        "status": "A",
        "authorized_official_last_name": "OERTEL",
        "authorized_official_first_name": "HORST",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-757-2702",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.P."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIBERTY HEALTH PLANS",
            "identifier": "2758",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PMSI",
            "identifier": "555663",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0003963000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "SO000006600",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2K1884",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "040045",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GUARDIAN",
            "identifier": "10540304",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2784203",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "1066390",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON BCBS",
            "identifier": "1487608311",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS - US DEPT LABOR",
            "identifier": "260248900",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NJ - WORKERS COMP",
            "identifier": "260248900",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "A522677",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watchung, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; 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.