NPIMap

Organization Active NPI

Maryland Real Life Designs, LLC

  • Prosthetic/Orthotic Supplier
  • Newark, DE
National Provider Identifier
1861726424
Registry record updated Sep 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
2006602592 Issued in DE
Legal business name
MARYLAND REAL LIFE DESIGNS, LLC
Practice address
300 Biddle Ave
Suite 212
Newark, DE 19702-3969
Phone
(302) 392-1947
Fax
(410) 569-7477
NPI assigned
Sep 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2009

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

Authorized official

Name
Jonas W Seeberg, CPO
Title
President
Phone
(410) 569-0606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 2006602592 DE Primary

Addresses

Primary practice location

300 Biddle Ave
Suite 212
Newark, DE 19702-3969

Mailing address

3435 Box Hill Corporate Center Dr
Suite D
Abingdon, MD 21009-1204
Phone (410) 569-0606

Other names 1

  • Real Life Prosthetics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Maryland Real Life Designs LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

300 Biddle Ave
Ste 212
Newark, DE 19702
Phone (302) 392-1947

NPI Registry JSON

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254182400000",
    "number": "1861726424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 BOX HILL CORPORATE CENTER DR",
            "address_2": "SUITE D",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210091204",
            "telephone_number": "410-569-0606",
            "fax_number": "410-569-7477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BIDDLE AVE",
            "address_2": "SUITE 212",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197023969",
            "telephone_number": "302-392-1947",
            "fax_number": "410-569-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND REAL LIFE DESIGNS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-29",
        "last_updated": "2009-09-29",
        "status": "A",
        "authorized_official_last_name": "SEEBERG",
        "authorized_official_first_name": "JONAS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-569-0606",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "DE",
            "license": "2006602592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Real Life Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; 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.