Perfect Fit Ortho LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

PERFECT FIT ORTHO LLC

Practice address

1529 Marconi Rd
Wall Township, NJ 07719-3915

Phone

(732) 272-5685

Fax

(732) 894-3291

NPI assigned

Jul 7, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Richard R Tyas

Title

Administrator

Phone

(732) 272-5685

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1518340652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1529 MARCONI RD",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077193915",
            "telephone_number": "732-272-5685",
            "fax_number": "732-894-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1529 MARCONI RD",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077193915",
            "telephone_number": "732-272-5685",
            "fax_number": "732-894-3291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFECT FIT ORTHO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TYAS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "732-272-5685",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Point of Service in Wall Township, NJ
• Providers in Wall Township, NJ by specialty
• Point of Service in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.