Achilles Prosthetics & Orthotics, LLC
Organization Active NPI Prosthetic/Orthotic Supplier · Ramsey, NJ
NPI 1497720395 · NPPES record last updated Jun 4, 2009
Key facts
- NPI
- 1497720395
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Prosthetic/Orthotic Supplier 335E00000X
- Legal business name
- ACHILLES PROSTHETICS & ORTHOTICS, LLC
- Practice address
- 503 N Franklin Tpke Ste 12
Ramsey, NJ 07446-1142 - Phone
- (201) 785-9944
- Fax
- (201) 785-9845
- NPI assigned
- Feb 22, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Peter R Buffington, CPO
- Title
- Certified Prosthetist Orthotist
- Phone
- (201) 785-9944
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Achilles Prosthetics & Orthotics LL |
Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930066369 | NJ | DME Supplier - Orthotic Personnel |
3577684026 | Practice locations: Ramsey, NJ |
National Provider Directory
Locations
503 N Franklin Tpke
Ste 12
Ramsey, NJ 07446
Phone (201) 785-9944
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Yes |
Addresses
Primary practice location
503 N Franklin Tpke Ste 12
Ramsey, NJ 07446-1142
Mailing address
PO Box 519
Ho Ho Kus, NJ 07423-0519
Phone (201) 785-9944
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8613109 | Medicaid | NJ |
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All providers in Ramsey, NJ · Prosthetic/Orthotic Supplier in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2009. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.