Organization Active NPI

Opmc, LLC.

  • Prosthetic/Orthotic Supplier
  • Tinton Falls, NJ
National Provider Identifier
1740352913
Registry record updated Mar 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
45PO00000200 Issued in NJ
Legal business name
OPMC, LLC.
Practice address
788 Shrewsbury Ave
BLDG. 1a, Suite 109
Tinton Falls, NJ 07724-3080
Phone
(732) 222-7033
Fax
(732) 222-7066
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2013

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

Authorized official

Name
Mr. Robert C. Manfredi Sr., C.P.O., L.P.O.
Title
Ceo
Phone
(732) 222-7033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 45PO00000200 NJ Primary

Addresses

Primary practice location

788 Shrewsbury Ave
BLDG. 1a, Suite 109
Tinton Falls, NJ 07724-3080

Mailing address

788 Shrewsbury Ave
BLDG. 1a, Suite 109
Tinton Falls, NJ 07724-3080
Phone (732) 222-7033

National Provider Directory

National Provider Directory

Locations

788 Shrewsbury Ave
Ste 109
Tinton Falls, NJ 07724
Phone (732) 222-0366

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362441600000",
    "number": "1740352913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "788 SHREWSBURY AVE",
            "address_2": "BLDG. 1A, SUITE 109",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077243080",
            "telephone_number": "732-222-7033",
            "fax_number": "732-222-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "788 SHREWSBURY AVE",
            "address_2": "BLDG. 1A, SUITE 109",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077243080",
            "telephone_number": "732-222-7033",
            "fax_number": "732-222-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPMC, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2013-03-05",
        "status": "A",
        "authorized_official_last_name": "MANFREDI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-222-7033",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "C.P.O., L.P.O."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NJ",
            "license": "45PO00000200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinton Falls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; 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.