Active NPI
Orthosupply, LLC
- Durable Medical Equipment & Medical Supplies
- Woodbridge, NJ
National Provider Identifier
1720536139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- ORTHOSUPPLY, LLC
- Practice address
- 10 Main Street Unit 177
Woodbridge, NJ 07095 - Phone
- (410) 916-8758
- Fax
- (201) 503-8167
- NPI assigned
- Sep 14, 2016
- 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. Daniel Ross
- Title
- President
- Phone
- (410) 916-8758
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
10 Main Street Unit 177
Woodbridge, NJ 07095
Mailing address
10 Main St
Unit 177
Woodbridge, NJ 07095-3300
Phone (410) 916-8758
National Provider Directory
National Provider DirectoryLocations
120 Charlotte Pl
Ste Ll
Englewood Cliffs, NJ 07632
Phone (201) 347-9550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473811200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1473984000000",
"number": "1720536139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 MAIN ST",
"address_2": "UNIT 177",
"city": "WOODBRIDGE",
"state": "NJ",
"postal_code": "070953300",
"telephone_number": "410-916-8758",
"fax_number": "201-503-8167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 MAIN STREET UNIT 177",
"city": "WOODBRIDGE",
"state": "NJ",
"postal_code": "07095",
"telephone_number": "410-916-8758",
"fax_number": "201-503-8167"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHOSUPPLY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-14",
"last_updated": "2016-09-16",
"status": "A",
"authorized_official_last_name": "ROSS",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "410-916-8758",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbridge, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.