Walter H. Neubert Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

31TD00147400 Issued in NJ

Legal business name

WALTER H. NEUBERT INC.

Practice address

541 61St St
West New York, NJ 07093-1430

Phone

(201) 854-1677

Fax

(201) 854-1677

NPI assigned

Jan 28, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Alvaro E Bravo, OPTHALMIC DISPENSER

Title

President (Owner)

Phone

(201) 854-1677

Specialties & licenses 1

Addresses

Other names 1

• neubert opticians Other name

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201996800000",
    "number": "1891972295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 61ST ST",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070931430",
            "telephone_number": "201-854-1677",
            "fax_number": "201-854-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 61ST ST",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070931430",
            "telephone_number": "201-854-1677",
            "fax_number": "201-854-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER H. NEUBERT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-02-03",
        "status": "A",
        "authorized_official_last_name": "BRAVO",
        "authorized_official_first_name": "ALVARO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT (OWNER)",
        "authorized_official_telephone_number": "201-854-1677",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTHALMIC DISPENSER"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NJ",
            "license": "31TD00147400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "neubert opticians",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• All providers in West New York, NJ
• Customized Equipment (DME) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.