NPIMap

Organization Active NPI

Allcare Orthotic & Prosthetic Services, LLC

  • Prosthetic/Orthotic Supplier
  • Rochelle Park, NJ
National Provider Identifier
1679818652
Registry record updated Sep 22, 2021
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
50 Essex St Ste 7
Rochelle Park, NJ 07662-4341
Phone
(201) 880-6908
Fax
(908) 688-5785
NPI assigned
Dec 3, 2012
Last updated
Sep 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

50 Essex St Ste 7
Rochelle Park, NJ 07662-4341

Mailing address

2333 Morris Ave
Suite C-210
Union, NJ 07083-5714
Phone (908) 790-9222

Other practice location 1

15 Emerald St
Hackensack, NJ 07601-6102
Phone (908) 792-9000 ext. 105

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
O20130314000017 NJ DME Supplier - Prosthetic PersonnelDME Supplier - Orthotic Personnel 4880888049 Practice locations: Rochelle Park, 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 Servi50 Essex St, Rochelle Park, NJ 07662-43419087909222105 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.

Locations

280 State Route 35
#404
Red Bank, NJ 07701

50 Essex St
Ste 7
Rochelle Park, NJ 07662
Phone (201) 880-6908

NPI Registry JSON

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

{
    "created_epoch": "1354492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632268800000",
    "number": "1679818652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 MORRIS AVE",
            "address_2": "SUITE C-210",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835714",
            "telephone_number": "908-790-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ESSEX ST STE 7",
            "city": "ROCHELLE PARK",
            "state": "NJ",
            "postal_code": "076624341",
            "telephone_number": "201-880-6908",
            "fax_number": "908-688-5785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Emerald St",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "076016102",
            "country_code": "US",
            "telephone_number": "908-792-9000 x105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALLCARE ORTHOTIC & PROSTHETIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-03",
        "last_updated": "2021-09-22",
        "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 Rochelle Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.