Active NPI
Nouveau Prosthetics & Orthotics
- Prosthetic/Orthotic Supplier
- Hazlet, NJ
National Provider Identifier
1528023330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3425100 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930076986 | NJ | DME Supplier - Medical Supply Company With Orthotic-Prosthetic | 9032237540 | Practice locations: Hazlet, NJ |
National Provider Directory
National Provider DirectoryLocations
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.