NJ Custom Bracing

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

NJ CUSTOM BRACING

Practice address

47 Hamburg Tpke
Riverdale, NJ 07457-1127

Phone

(973) 874-9777

Fax

(973) 341-7791

NPI assigned

Jun 3, 2024

Organization subpart

No

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

Authorized official

Name

Jack A Atzmon, DCNPI 1962565648

Title

Authorized Individual

Phone

(973) 874-9777

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jack A. Atzmon

  • Chiropractor
  • Riverdale, NJ
  • NPI 1962565648
  NPD Authorized official

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1972344372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N GOULD ST STE R",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828016317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 HAMBURG TPKE",
            "city": "RIVERDALE",
            "state": "NJ",
            "postal_code": "074571127",
            "telephone_number": "973-874-9777",
            "fax_number": "973-341-7791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ CUSTOM BRACING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-05-31",
        "status": "A",
        "authorized_official_last_name": "ATZMON",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "AUTHORIZED INDIVIDUAL",
        "authorized_official_telephone_number": "973-874-9777",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Jersey CVS Pharmacy LLC
• New Jersey Pain Care Center PC
• New Jersey Pain Care Center PC
• Madyline Aubrey Nieuwenhuis, PT, DPT
• NJ Chiropractic Associates LLC
• Noreen Sheehan, DMD,LLC
• North Jersey Gynecology PC
• Colleen O'Connor
• Olufunmilayo Rachel Olorungbemi, M.S. CS
• Open MRI Centers of New Jersey, LLC

• Customized Equipment (DME) in Riverdale, NJ
• Providers in Riverdale, NJ by specialty
• Customized Equipment (DME) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.