BOSTON BRACE INTERNATIONAL INC. (NPI# 1003962556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003962556 |
| Entity Type | Organization |
| Organization Name | BOSTON BRACE INTERNATIONAL INC. |
| Other Organization Name | BOSTON ORTHOTICS & PROSTHETICS |
| Practice Address |
150 New Providence Rd Mountainside NJ 07092-2590 |
| Mailing Address |
20 Ledin Drive Avon MA 02322-1156 |
| Practice Telephone | 9082333720 |
| Practice Fax Number | 9082337286 |
| Mailing Telephone | 8002622235 |
| Mailing Fax Number | 5085592750 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2018-07-24 |
| Authorized Official Name | MR. THOMAS H. MORRISSEY (PRESIDENT & CEO) |
| Authorized Official Telephone | 5085886060 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HMO | 0124892 | 01 | |
| OXFORD | A382634 | 01 | |
| UNIVERSITY HEALTH PLAN | 28950 | 01 | |
| NON HMO | 8432848 | 01 | |
| HEALTHNET | OL0601 | 01 | |
| NJ | 4623401 | 05 |
| Other Name | Type Code |
|---|---|
| Boston Orthotics & Prosthetics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487261913 | Boston Brace International Inc. | Prosthetic/Orthotic Supplier | 372 Chandler St Ste 104, Worcester, MA 01602-3314 | 2020-09-29 |
| 1588202105 | Boston Brace International Inc. | Prosthetic/Orthotic Supplier | 7301 Forest Ave Ste 202, Richmond, VA 23226-3792 | 2019-12-13 |
| 1255985404 | Boston Brace International Inc. | Prosthetic/Orthotic Supplier | 17900 Jefferson Park Rd Ste 100, Middleburg Heights, OH 44130-3437 | 2019-07-26 |
| 1003393786 | Boston Brace International Inc. | Prosthetic/Orthotic Supplier | 30 E 40th St Rm 905, New York, NY 10016-1231 | 2018-07-25 |
| 1437636750 | Boston Brace International Inc. | Prosthetic/Orthotic Supplier | 207 Hallock Rd Ste 211, Stony Brook, NY 11790-3076 | 2018-07-20 |
| 1053898379 | Boston Brace International Inc. | Prosthetic/Orthotic Supplier | 5 Franklin Ave Ste 407, Belleville, NJ 07109-3565 | 2018-07-20 |
| 1720580988 | Boston Brace International Inc. | Prosthetic/Orthotic Supplier | 964 Kinderkamack Rd, River Edge, NJ 07661-2331 | 2018-03-05 |
| 1649778382 | Boston Brace International Inc. | Prosthetic/Orthotic Supplier | 50 Crestwood Executive Ctr Ste 315, Saint Louis, MO 63126-1900 | 2018-01-29 |
| 1477092492 | Boston Brace International Inc. | Prosthetic/Orthotic Supplier | 800 Westpoint Pkwy, Ste 1125, Westlake, OH 44145-1573 | 2017-02-23 |
| 1518396183 | Boston Brace International Inc. | Prosthetic/Orthotic Supplier | 23 Stiles Rd Ste 218, Salem, NH 03079-2854 | 2013-11-05 |
| Street Address |
150 NEW PROVIDENCE RD |
| City | MOUNTAINSIDE |
| State | NJ |
| Zip Code | 07092-2590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306812037 | Ave O Gozo | Pediatrics | 150 New Providence Rd, Mountainside, NJ 07092-2590 | 2006-02-23 |
| 1013537497 | Meghan E. Lonergan | Physical Therapist | 150 New Providence Rd, Mountainside, NJ 07092-2590 | 2020-04-25 |
| 1538633516 | Allison Heschle | Physical Therapist | 150 New Providence Rd, Mountainside, NJ 07092-2590 | 2019-01-14 |
| 1518458702 | Heather Anne Montemurro | Physical Therapist | 150 New Providence Rd, Mountainside, NJ 07092-2590 | 2018-05-23 |
| 1366953465 | Grace Giovinazzo-page | Nurse Practitioner | 150 New Providence Rd, Mountainside, NJ 07092-2590 | 2017-10-16 |
| 1083151088 | Karla R Estrada Saborio | Speech-Language Pathologist | 150 New Providence Rd, Mountainside, NJ 07092-2590 | 2017-01-27 |
| 1598217143 | Laura Gorelick | Counselor | 150 New Providence Rd, Mountainside, NJ 07092-2590 | 2016-10-31 |
| 1285185215 | Angela Tonon | Physical Therapist | 150 New Providence Rd, Mountainside, NJ 07092-2590 | 2016-10-14 |
| 1609326610 | Amy Srebnik | Specialist | 150 New Providence Rd, Mountainside, NJ 07092-2590 | 2016-10-13 |
| 1831547884 | Elizabeth Ann Hack | Physical Therapist | 150 New Providence Rd, Mountainside, NJ 07092-2590 | 2016-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750866869 | Anjuli Bodapati | Clinical Neuropsychologist | 608 Sherwood Pkwy Ste 2d, Mountainside, NJ 07092 | 2018-09-25 |
| 1497177273 | Mumta Hathiramani | Dentist | 1122 Route 22 Ste 104, Mountainside, NJ 07092 | 2014-01-13 |
| 1376817742 | Yekaterina Spivak | Physician Assistant | 444 New Providence Rd, Mountainside, NJ 07092 | 2012-03-02 |
| 1578837225 | Barbara I Reuven | Physical Therapist | 1111 Us Highway 22 East, Mountainside, NJ 07092 | 2012-02-28 |
| 1629350434 | Cooperative Counseling Services, LLC | Clinic/Center | 1139 Spruce Drive, Suite 2, Mountainside, NJ 07092 | 2011-09-16 |
| 1912207325 | Leslie Ann Eckenthal | Speech-Language Pathologist | 1607 Rising Way, Westfield, NJ 07092 | 2010-11-01 |
| 1598080806 | Darshana Patel | Pharmacist | 200 Sheffield, 103, Mountainside, NJ 07092 | 2010-03-30 |
| 1770807497 | Goda Devi Chari | Pharmacist | 200 Sheffield St., Ste.103, Mountainside, NJ 07092 | 2010-03-24 |
| 1982830485 | Arthur J. Matthews | Otolaryngology | 1060 Saddlebrook Rd., Mountainside, NJ 07092 | 2009-06-10 |
| 1285889105 | Charles Edward Dooley Jr | Internal Medicine | 560 Springfield Avenue, Westfield, NJ 07092 | 2008-11-19 |
| Find all providers in zip 07092 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902405673 | Harry J. Lawall & Son, Inc | Prosthetic/Orthotic Supplier | 1973 Highway 34 Harry J. Lawall & Son Inc., Wall, NJ 07719-0007 | 2020-10-22 |
| 1639789340 | Shantise Michelle Cranial Prosthesis | Prosthetic/Orthotic Supplier | 2816 Morris Ave Ste 20b, Union, NJ 07083-4849 | 2020-08-06 |
| 1477185015 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 1810 Chapel Ave W Ste 100, Cherry Hill, NJ 08002-4606 | 2020-02-11 |
| 1568020311 | Vine Beauty Supply | Prosthetic/Orthotic Supplier | 615 Rahway Ave, Woodbridge, NJ 07095-3437 | 2019-06-05 |
| 1871066142 | Hair Chalet Multicultural Hair Designers | Prosthetic/Orthotic Supplier | 1632 Springfield Ave, Maplewood, NJ 07040-2414 | 2019-01-09 |
| 1194291575 | Philadelphia Orthotics and Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 709 Somerdale Road, Voorhees, NJ 08043-1313 | 2018-10-23 |
| 1730663493 | Private Quarters Hair Salon LLC | Prosthetic/Orthotic Supplier | 12 Academy Street, South Orange, NJ 07079 | 2018-09-19 |
| 1053898379 | Boston Brace International Inc. | Prosthetic/Orthotic Supplier | 5 Franklin Ave Ste 407, Belleville, NJ 07109-3565 | 2018-07-20 |
| 1104315639 | Next Step Orthopaedics, Inc. | Prosthetic/Orthotic Supplier | 26 Madison Ave Ste 5, Morristown, NJ 07960-7366 | 2018-05-10 |
| 1720580988 | Boston Brace International Inc. | Prosthetic/Orthotic Supplier | 964 Kinderkamack Rd, River Edge, NJ 07661-2331 | 2018-03-05 |
| Find all providers with the same taxonomy | ||||
| City | MOUNTAINSIDE |
| Zip Code | 07092 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.