Organization Active NPI

Mitchell Hirsch

Doing business as The Braceshop LLC

  • Prosthetic/Orthotic Supplier
  • Tenafly, NJ
National Provider Identifier
1639418999
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Authorized official

Name
Mr. Mitchell S Hirsch, CPO, LPONPI 1578793139
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.