Jefferson Prosthetic & Orthotic Company, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

45PO00002400 Issued in NJ

Legal business name

JEFFERSON PROSTHETIC & ORTHOTIC COMPANY, INC.

Practice address

120 Prospect St
South Orange, NJ 07079-2103

Phone

(973) 762-0780

Fax

(973) 762-1480

NPI assigned

May 7, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Simon C. W. Chang, C.P.O.

Title

President

Phone

(973) 762-0780

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1609089523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 PROSPECT ST",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792103",
            "telephone_number": "973-762-0780",
            "fax_number": "973-762-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 PROSPECT ST",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792103",
            "telephone_number": "973-762-0780",
            "fax_number": "973-762-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON PROSTHETIC & ORTHOTIC COMPANY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "SIMON",
        "authorized_official_middle_name": "C. W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-762-0780",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.P.O."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NJ",
            "license": "45PO00002400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Jacobs, MA, BCBA
• Nan Jacobson Wise, MSW
• Jacques G. Losman, MD, PA
• Sejal Jain
• Shaheerah Jamison, LPC
• Jespy House
• Jespy House
• Jespy House
• Jespy House
• Jespy House

• Prosthetic/Orthotic Supplier in South Orange, NJ
• Providers in South Orange, NJ by specialty
• Prosthetic/Orthotic Supplier in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.