NPIMap

Organization Active NPI

Center for Orthopedic Research and Education, LLC

Doing business as The CORE Institute

  • Durable Medical Equipment & Medical Supplies
  • Phoenix, AZ
National Provider Identifier
1518152073
Registry record updated Jan 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION, LLC
Doing business as
The CORE Institute
Practice address
18444 N 25TH Ave
Ste 210
Phoenix, AZ 85023-1261
Phone
(866) 974-2673
Fax
(866) 939-2673
NPI assigned
Sep 7, 2007
Last updated
Jan 14, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 14, 2020

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

Authorized official

Name
Dr. David Jacofsky, MDNPI 1922040179
Title
Chairman/Ceo
Phone
(866) 974-2673

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Customized Equipment (DME) 332BC3200X
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

18444 N 25TH Ave
Ste 210
Phoenix, AZ 85023-1261

Mailing address

18444 N 25TH Ave
Ste 310
Phoenix, AZ 85023-1261
Phone (866) 974-2673

Other identifiers 1

IdentifierTypeStateIssuer
341246MedicaidAZ

Other names 1

  • The CORE Institute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930029851 AZ DME Supplier - Physician - Orthopedic/Orthopedic Surgery 0345287322 Practice locations: Phoenix, AZ

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
The Center for Orthopedic Research and Education24 organizations share this tax ID, including this one
Part of
The Center for Orthopedic Research and Education

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

Locations

18444 N 25th Ave
Ste 210
Phoenix, AZ 85023
Phone (669) 742-6738

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578960000000",
    "number": "1518152073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18444 N 25TH AVE",
            "address_2": "STE 310",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850231261",
            "telephone_number": "866-974-2673",
            "fax_number": "866-939-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18444 N 25TH AVE",
            "address_2": "STE 210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850231261",
            "telephone_number": "866-974-2673",
            "fax_number": "866-939-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION INC",
        "enumeration_date": "2007-09-07",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A",
        "authorized_official_last_name": "JACOFSKY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CHAIRMAN/CEO",
        "authorized_official_telephone_number": "866-974-2673",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "341246",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The CORE Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The CORE Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.