Organization Active NPI

Nouveau Prosthetics & Orthotics

  • Prosthetic/Orthotic Supplier
  • Hazlet, NJ
National Provider Identifier
1528023330
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
NOUVEAU PROSTHETICS & ORTHOTICS
Practice address
984 Hwy 36
Hazlet, NJ 07730
Phone
(732) 739-0888
Fax
(732) 739-5351
NPI assigned
Apr 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2008

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

Authorized official

Name
Mr. Stuart Weiner
Title
Owner Director
Phone
(732) 739-0888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

984 Hwy 36
Hazlet, NJ 07730

Mailing address

984 Hwy 36
Hazlet, NJ 07730
Phone (732) 739-0888

Other identifiers 1

IdentifierTypeStateIssuer
3425100MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930076986 NJ DME Supplier - Medical Supply Company With Orthotic-ProstheticDME Supplier - Medical Supply Company With Orthotic PersonnelDME Supplier - Medical Supply Company With Prosthetic Personnel 9032237540 Practice locations: Hazlet, NJ

National Provider Directory

National Provider Directory

Locations

984 State Route 36
Hazlet, NJ 07730
Phone (732) 203-0111

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1528023330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "984 HWY 36",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "07730",
            "telephone_number": "732-739-0888",
            "fax_number": "732-739-5351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "984 HWY 36",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "07730",
            "telephone_number": "732-739-0888",
            "fax_number": "732-739-5351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOUVEAU PROSTHETICS & ORTHOTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "WEINER",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "OWNER DIRECTOR",
        "authorized_official_telephone_number": "732-739-0888",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3425100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazlet, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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.