Adil Tnaimou, BOCPO & LPO

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

PO000216 Issued in PA

Practice address

377 Stonybrook Dr
Levittown, PA 19055-2015

Phone

(215) 269-3320

Fax

(215) 269-3325

NPI assigned

Mar 12, 2017

Last updated

Mar 12, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1489276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489276800000",
    "number": "1891236741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 STONYBROOK DR",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190552015",
            "telephone_number": "215-269-3320",
            "fax_number": "215-269-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 STONYBROOK DR",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190552015",
            "telephone_number": "215-269-3320",
            "fax_number": "215-269-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TNAIMOU",
        "first_name": "ADIL",
        "name_prefix": "Mr.",
        "credential": "BOCPO & LPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-12",
        "last_updated": "2017-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "PA",
            "license": "OH000139",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "PA",
            "license": "PO000216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROSTHETIST LICENSE",
            "identifier": "PO000216",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORTHOTIST LICENSE",
            "identifier": "OH000139",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Prosthetist in Levittown, PA
• Providers in Levittown, PA by specialty
• Prosthetist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2017; 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.