Modern Limb and Brace Co

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

MODERN LIMB AND BRACE CO

Practice address

5310 Rising Sun Ave
Phila, PA 19120-3031

Phone

(215) 455-6878

Fax

(215) 455-8560

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Edward J Sulima

Title

President

Phone

(215) 455-6878

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497840490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 RISING SUN AVE",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191203031",
            "telephone_number": "215-455-6878",
            "fax_number": "215-455-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 RISING SUN AVE",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191203031",
            "telephone_number": "215-455-6878",
            "fax_number": "215-455-8560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN LIMB AND BRACE CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SULIMA",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-455-6878"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0002647000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Phila, PA
• Providers in Phila, PA by specialty
• Customized Equipment (DME) in Pennsylvania

• 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.