JOEL GUNDERSON


Address: 411 W 52nd St Apt 2a, New York, NY 10019-5637
Phone: 9174564704

JOEL GUNDERSON (NPI# 1265044036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265044036
Entity Type Individual
Full Name JOEL GUNDERSON
Practice Address 411 W 52nd St Apt 2a
New York
NY 10019-5637
Practice Telephone 9174564704
Enumeration Date 2020-08-21
Last Update Date 2020-08-21
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 224P00000X Prosthetist 3243538953 NY Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 411 W 52ND ST APT 2A
City NEW YORK
State NY
Zip Code 10019-5637

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Taxonomy Information

Taxonomy Code 224P00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Prosthetist

Taxonomy Definition

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548726235 Michelle Len Moore Prosthetist 620 Lenox Ave, Suite 4c, New York, NY 10037 2019-02-18
1174092589 Mccarthy Hanger Prosthetist 215 E 73rd St Unit 1b, New York, NY 10021-3653 2018-11-14
1790910974 Daniel D Walsh Prosthetist 423 E 23rd St, Prosthetics, New York, NY 10010-5011 2009-05-18

Providers in the same taxonomy and state

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1538620364 Vanessa Crumity Prosthetist 970 Clinton Ave S, Rochester, NY 14620-2073 2019-03-26
1063983864 Allensia Annette Brown Prosthetist 368 Langfield Dr, Buffalo, NY 14215-3459 2018-12-06
1457839177 Lindsay Rouse Prosthetist 818 E 225th St, Bronx, NY 10466-4406 2018-08-03
1043705924 Keturah S. Clark Prosthetist 936 Exchange St Ste E-103, Rochester, NY 14608-2801 2018-06-24
1689164147 Nneka Smith Prosthetist 691 Van Siclen Ave # 1, Brooklyn, NY 11207-7204 2018-05-10
1467780882 Sewpersaud R Madho Prosthetist 1479 Parkwood Blvd, Suite 101, Schenectady, NY 12308-2525 2009-11-23
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Competitor

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City NEW YORK
Zip Code 10019

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Dataset Information

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.

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