NPIMap

Organization Active NPI

Allcare Orthotic & Prosthetic Services, LLC

  • Prosthetic/Orthotic Supplier
  • Red Bank, NJ
National Provider Identifier
1598288508
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
ALLCARE ORTHOTIC & PROSTHETIC SERVICES, LLC
Practice address
280 Route 35 Ste 404
Red Bank, NJ 07701-5900
Phone
(908) 790-9222
Fax
(908) 688-5785
NPI assigned
Jul 21, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Richard Lerner
Title
President of Operations
Phone
(908) 790-9222

Specialties & licenses 1

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

Addresses

Primary practice location

280 Route 35 Ste 404
Red Bank, NJ 07701-5900

Mailing address

280 Route 35 Ste 404
Red Bank, NJ 07701-5900
Phone (908) 790-9222

Other identifiers 1

IdentifierTypeStateIssuer
0254550MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180305000155 NJ DME Supplier - Medical Supply Company With Orthotic-Prosthetic 4880888049 Practice locations: Red Bank, NJ

Other NPIs with the same Medicare PAC ID 4

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Allcare Orthotic & Prosthetic Servi280 Route 35, Red Bank, NJ 07701-59009087909222105 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Breast Prostheses and/or Accessories|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Sep 2, 2010

National Provider Directory

National Provider Directory
Tax ID family
Allcare Orthotic Prosthetic Services LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1598288508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 ROUTE 35 STE 404",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015900",
            "telephone_number": "908-790-9222",
            "fax_number": "908-688-5785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 ROUTE 35 STE 404",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015900",
            "telephone_number": "908-790-9222",
            "fax_number": "908-688-5785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLCARE ORTHOTIC & PROSTHETIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-21",
        "last_updated": "2022-07-21",
        "certification_date": "2021-09-22",
        "status": "A",
        "authorized_official_last_name": "LERNER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "908-790-9222",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0254550",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

  • 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.