Thebracedoctorinc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

THEBRACEDOCTORINC.

Practice address

305 E 86TH St
1GW
New York, NY 10028-4702

Phone

(212) 592-3272

Fax

(732) 495-6319

NPI assigned

May 17, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Peter William Vales, C.O.,B.O.C.O.,C.PED.

Title

President/Orthotist

Phone

(908) 966-0620

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1210982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210982400000",
    "number": "1780841874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 MAIN ST",
            "city": "PORT MONMOUTH",
            "state": "NJ",
            "postal_code": "077581046",
            "telephone_number": "908-966-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 E 86TH ST",
            "address_2": "1GW",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100284702",
            "telephone_number": "212-592-3272",
            "fax_number": "732-495-6319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEBRACEDOCTORINC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-17",
        "last_updated": "2008-05-17",
        "status": "A",
        "authorized_official_last_name": "VALES",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT/ORTHOTIST",
        "authorized_official_telephone_number": "908-966-0620",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.O.,B.O.C.O.,C.PED."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2008; 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.