Active NPI
Mitchell Hirsch
Doing business as The Braceshop LLC
- Prosthetic/Orthotic Supplier
- Tenafly, NJ
National Provider Identifier
1639418999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- MITCHELL HIRSCH
- Doing business as
- The Braceshop LLC
- Practice address
- 37 Magnolia Ave
Tenafly, NJ 07670-2119 - Phone
- (551) 580-2305
- Fax
- (877) 331-3389
- NPI assigned
- Feb 6, 2013
- Last updated
- Feb 14, 2017
- 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. Mitchell S Hirsch, CPO, LPO
- Title
- Owner
- Phone
- (551) 580-2305
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | NU | Primary |
Addresses
Primary practice location
37 Magnolia Ave
Tenafly, NJ 07670-2119
Mailing address
37 Magnolia Ave
Tenafly, NJ 07670-2119
Phone (551) 580-2305
Other names 1
- THE BRACESHOP LLC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Prosthetic/Orthotic Supplier
- Tenafly, NJ
- NPI 1578793139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1487030400000",
"number": "1639418999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 MAGNOLIA AVE",
"city": "TENAFLY",
"state": "NJ",
"postal_code": "076702119",
"telephone_number": "551-580-2305",
"fax_number": "877-331-3389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 MAGNOLIA AVE",
"city": "TENAFLY",
"state": "NJ",
"postal_code": "076702119",
"telephone_number": "551-580-2305",
"fax_number": "877-331-3389"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MITCHELL HIRSCH",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-06",
"last_updated": "2017-02-14",
"status": "A",
"authorized_official_last_name": "HIRSCH",
"authorized_official_first_name": "MITCHELL",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "551-580-2305",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CPO, LPO"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "THE BRACESHOP LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tenafly, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.