Active NPI
Modern Limb & Brace Co.
- Prosthetic/Orthotic Supplier
- Watchung, NJ
National Provider Identifier
1487608311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Horst Oertel, C.P.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2758 | Other | NJ | LIBERTY HEALTH PLANS |
| 555663 | Other | NJ | PMSI |
| 0003963000 | Other | NJ | AMERIHEALTH |
| SO000006600 | Other | NJ | AMERICHOICE |
| 2K1884 | Other | NJ | HEALTHNET |
| 040045 | Other | NJ | AETNA |
| 10540304 | Other | NJ | GUARDIAN |
| 2784203 | Medicaid | NJ | |
| 1066390 | Other | NJ | HORIZON NJ HEALTH |
| 1487608311 | Other | NJ | HORIZON BCBS |
| 260248900 | Other | NJ | ACS - US DEPT LABOR |
| 260248900 | Other | NJ | STATE OF NJ - WORKERS COMP |
| A522677 | Other | NJ | OXFORD |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Prosthetics Case Management
- Watchung, NJ
- NPI 1851398390
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.