Laloma Thirty-Nine Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

LALOMA THIRTY-NINE INC

Doing business as

Break-N-Brace

Practice address

2004 Sproul Road
Suite 200
Broomall, PA 19008

Phone

(610) 356-3730

Fax

(610) 471-0736

NPI assigned

Jan 6, 2006

Last updated

Jan 16, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

LALOMA THIRTY-NINE INC. (DBA BREAK-N-BRACE)As reported in NPPES

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

Authorized official

Name

Mr. John L Larocco

Title

Owner

Phone

(610) 356-3730

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Break-N-Brace Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Part of

Laloma Thirty-Nine Inc

Locations

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673827200000",
    "number": "1982682134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1826",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "19422",
            "telephone_number": "610-356-3730",
            "fax_number": "610-471-0736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 SPROUL ROAD",
            "address_2": "SUITE 200",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "19008",
            "telephone_number": "610-356-3730",
            "fax_number": "610-471-0736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LALOMA THIRTY-NINE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LALOMA THIRTY-NINE INC. (DBA BREAK-N-BRACE)",
        "enumeration_date": "2006-01-06",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A",
        "authorized_official_last_name": "LAROCCO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-356-3730",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1030815330001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Break-N-Brace",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Break-N-Brace",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph Labricciosa, DO
• Jaqueline S Lacinski
• Shirley Lacrosse, P.A.-C
• Max C. Lai, D.M.D.
• Shiu-Mei Lai, D.D.S.
• Joseph P Lamb, DDS
• Courtney Lambert
• David Lampl, D.M.D.
• Craig A Landow, MD
• Haleigh Marie Lassiter, RBT

• Prosthetic/Orthotic Supplier in Broomall, PA
• Providers in Broomall, PA by specialty
• Prosthetic/Orthotic Supplier in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.