Boston Brace International Inc.
Organization Active NPI Prosthetic/Orthotic Supplier · River Edge, NJ
NPI 1720580988 · NPPES record last updated May 23, 2025
Key facts
- NPI
- 1720580988
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Prosthetic/Orthotic Supplier 335E00000X
- Legal business name
- BOSTON BRACE INTERNATIONAL INC.
- Practice address
- 964 Kinderkamack Rd
River Edge, NJ 07661-2331 - Phone
- (201) 597-4300
- Fax
- (201) 483-6939
- NPI assigned
- Mar 5, 2018
- Organization subpart
- No
Authorized official
- Name
- Thomas H Morrissey
- Title
- General Manager
- Phone
- (508) 588-6060
Corporate family (same tax ID) 28
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Boston Brace International Inc |
Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180817000774 | NJ | DME Supplier - Orthotic Personnel |
2163549015 | Practice locations: River Edge, NJ |
National Provider Directory
- Tax ID family
- Boston Brace International Inc
Locations
964 Kinderkamack Rd
River Edge, NJ 07661
Phone (201) 597-4300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Yes |
Addresses
Primary practice location
964 Kinderkamack Rd
River Edge, NJ 07661-2331
Mailing address
37 Shuman Ave
Stoughton, MA 02072-3734
Phone (508) 588-6060
Other names
- OP Specialty Bracing
Other providers in River Edge, NJ
- Scarlett Bassily
- Herbert Daniel Benkel
- Bergen Obstetrical & Gynecological Assoc PA
- Ira Bernstein
- Megan Lynn Borghetti
- Alanna Branco
- Ashley Faye Britt
- Lindsey L Britt
- Sophie Buchbinder
- Patricia Buckley
All providers in River Edge, NJ · Prosthetic/Orthotic Supplier in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.