Stuart Kuntzelman, ATP

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

203.002025 Issued in IL

Practice address

W2678 Town Center Rd
Juda, WI 53550-9565

Phone

(630) 806-3036

NPI assigned

Jun 9, 2020

Last updated

Jun 9, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• S&J Services and Repairs, LLC

  • Customized Equipment (DME)
  • Juda, WI
  • NPI 1285333765
  NPD Authorized official

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1811512437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W2678 TOWN CENTER RD",
            "city": "JUDA",
            "state": "WI",
            "postal_code": "535509565",
            "telephone_number": "630-806-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W2678 TOWN CENTER RD",
            "city": "JUDA",
            "state": "WI",
            "postal_code": "535509565",
            "telephone_number": "630-806-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNTZELMAN",
        "first_name": "STUART",
        "name_prefix": "Mr.",
        "credential": "ATP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-09",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "IL",
            "license": "203.002025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savannah Lynn Baade
• Paige Bowers, APNP
• Michelle Broger
• Tanya Lawson
• Kathryn Ann Reidenbach
• S&J Services and Repairs, LLC
• School District of Juda

• Customized Equipment (DME) in Juda, WI
• Providers in Juda, WI by specialty
• Customized Equipment (DME) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; 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.