Gdedllc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

GDEDLLC

Practice address

1045 Route 70
Manchester, NJ 08759-5806

Phone

(732) 849-5013

Fax

(732) 849-5204

NPI assigned

Apr 25, 2012

Organization subpart

No

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

Authorized official

Name

Eliyohu Kagan

Title

Owner

Phone

(732) 849-5013

Specialties & licenses 1

Addresses

Other names 1

• foot solutions Doing business as

Locations

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1922366194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 ROUTE 70",
            "city": "MANCHESTER",
            "state": "NJ",
            "postal_code": "087595806",
            "telephone_number": "732-849-5013",
            "fax_number": "732-849-5204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 ROUTE 70",
            "city": "MANCHESTER",
            "state": "NJ",
            "postal_code": "087595806",
            "telephone_number": "732-849-5013",
            "fax_number": "732-849-5204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GDEDLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-25",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "KAGAN",
        "authorized_official_first_name": "ELIYOHU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-849-5013"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "foot solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Edward Flaherty, P.T.,CEAS
• Fordham-Lewis Consulting, L.L.C.
• Grace Freiermuth, PTA
• Emily Ann Gardner, BCBA
• Dorcas Gbeve-Hill
• Rosemarie Genovese, LPC, LCADC, CCS, NCC
• Todd Howard Gershenow, OD
• Loriann Gibson, APN
• William Mark Griefer, D.D.S.
• Robert Alvin Gross, DDS

• Prosthetic/Orthotic Supplier in Manchester, NJ
• Providers in Manchester, NJ by specialty
• Prosthetic/Orthotic Supplier in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; 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.