Active NPI
Joseph Chorba Jr., LICENSED PROSTHETIST
- Prosthetic/Orthotic Supplier
- Bordentown, NJ
National Provider Identifier
1679003883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- 45PO00006900
- Practice address
- 163 Route 130 Building 2
Suite D
Bordentown, NJ 08505 - Phone
- (609) 379-6453
- Fax
- (609) 379-6754
- NPI assigned
- Jun 20, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mastectomy Fitter | 224900000X | 45PO00006900 | ||
| Prosthetic/Orthotic Supplier | 335E00000X | 45PO00006900 | NJ | Primary |
Addresses
Primary practice location
163 Route 130 Building 2
Suite D
Bordentown, NJ 08505
Mailing address
234 Washington St
Fieldsboro, NJ 08505-1143
Phone (609) 649-4158
Other names 1
- Joseph Chorba
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45PO00006900 | NJ | MD | Prosthetic/Orthotic Supplier |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1679003883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "234 WASHINGTON ST",
"city": "FIELDSBORO",
"state": "NJ",
"postal_code": "085051143",
"telephone_number": "609-649-4158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163 ROUTE 130 BUILDING 2",
"address_2": "SUITE D",
"city": "BORDENTOWN",
"state": "NJ",
"postal_code": "08505",
"telephone_number": "609-379-6453",
"fax_number": "609-379-6754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHORBA",
"first_name": "JOSEPH",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LICENSED PROSTHETIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-20",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "224900000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Mastectomy Fitter",
"state": null,
"license": "45PO00006900",
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "NJ",
"license": "45PO00006900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOSEPH",
"last_name": "CHORBA",
"credential": "LICENSED PROTHETIST",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Bordentown, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.