Active NPI
Madhat S Amin I
- Durable Medical Equipment & Medical Supplies
- Bayonne, NJ
National Provider Identifier
1548617525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Practice address
- 914 Broadway
Bayonne, NJ 07002 - Phone
- (201) 471-2221
- Fax
- (201) 471-7799
- NPI assigned
- May 19, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Specialist/Technologist | 246X00000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | NJ | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
914 Broadway
Bayonne, NJ 07002
Mailing address
914 Broadway Ofc
Bayonne, NJ 07002-3034
Phone (201) 471-2221
Other practice location 1
914 Broadway
Bayonne, NJ 07002
Phone (201) 471-2221
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Ortho.fitting@gmail.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayonne Ortho Fitting LLC | Durable Medical Equipment & Medical Supplies | Past | Accepting new patients |
| Bayonne Ortho Fitting LLC | Durable Medical Equipment & Medical Supplies | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Elizabeth, NJ
- NPI 1154003515
-
- Durable Medical Equipment & Medical Supplies
- Bayonne, NJ
- NPI 1366894271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561507200000",
"number": "1548617525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "914 BROADWAY OFC",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070023034",
"telephone_number": "201-471-2221",
"fax_number": "201-471-7799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "914 BROADWAY",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "07002",
"telephone_number": "201-471-2221",
"fax_number": "201-471-7799"
}
],
"practiceLocations": [
{
"address_1": "914 Broadway",
"address_purpose": "LOCATION",
"city": "Bayonne",
"state": "NJ",
"postal_code": "07002",
"country_code": "US",
"telephone_number": "201-471-2221",
"fax_number": "201-471-7799",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AMIN",
"first_name": "MADHAT",
"middle_name": "S",
"name_prefix": "Mr.",
"name_suffix": "I",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-19",
"last_updated": "2019-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "246X00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist Cardiovascular",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NJ",
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Ortho.fitting@gmail.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "914 Broadway",
"city": "Bayonne",
"state": "NJ",
"country_code": "US",
"postal_code": "07002",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bayonne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.