Custom Footwear and Braces Plus LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CUSTOM FOOTWEAR AND BRACES PLUS LLC

Practice address

99 Main St
Suite 201
Nyack, NY 10960-3109

Phone

(201) 481-5276

NPI assigned

May 13, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Delucia

Title

Owner

Phone

(201) 481-5286

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369180800000",
    "number": "1831535251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 MAIN ST",
            "address_2": "SUITE 201",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109603109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 MAIN ST",
            "address_2": "SUITE 201",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109603109",
            "telephone_number": "201-481-5276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM FOOTWEAR AND BRACES PLUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-13",
        "last_updated": "2013-05-22",
        "status": "A",
        "authorized_official_last_name": "DELUCIA",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-481-5286",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Core Physical Therapy
• Polly Jo Corman, LCSW R
• Danielle Cothren, MSED
• Joseph Covelli, M.D.
• Amelia Cruz, RPH
• Tajra Daniels, MHC-LP
• Candice H Darmstadter, MA.,CCC-SLP
• David Crowe,MD
• Donna L Davidson
• Rosalind Davis, LCSW

• Durable Medical Equipment & Medical Supplies in Nyack, NY
• Providers in Nyack, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.