NORTHEAST ORTHOTICS INC. (NPI# 1487191862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487191862 |
| Entity Type | Organization |
| Organization Name | NORTHEAST ORTHOTICS INC. |
| Practice Address |
3223 N Broad St Ste 150 Philadelphia PA 19140-5007 |
| Mailing Address |
2326 S Colorado St Philadelphia PA 19145-4321 |
| Practice Telephone | 2157079474 |
| Mailing Telephone | (215) 868-7120 |
| Mailing Fax Number | 2678181068 |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2017-06-15 |
| Authorized Official Name | DANIEL A SAVLOFF (PRESIDENT) |
| Authorized Official Telephone | 2158687120 |
| Authorized Official Credential | C.O., C.PED., CF |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 335E00000X | Prosthetic/Orthotic Supplier | PD000109 | PA | Suppliers |
| N | 335E00000X | Prosthetic/Orthotic Supplier | OF000151 | PA | Suppliers |
| N | 335E00000X | Prosthetic/Orthotic Supplier | 45PD00001000 | NJ | Suppliers |
| Y | 335E00000X | Prosthetic/Orthotic Supplier | OH000284 | PA | Suppliers |
| Street Address |
3223 N BROAD ST STE 150 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19140-5007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225640519 | Desirea Grant | Registered Nurse | 2000 W. Venango Street, Phila, PA 19140 | 2020-08-19 |
| 1306316104 | Carmen Doumit | Dentist | 3223 N Broad Street, Temple University Department of Orthodontics, Philadelphia, PA 19140 | 2018-12-05 |
| 1780150375 | Samantha Marina Felix | Counselor | 3803-3805 N 5th St, Philadelphia, PA 19140 | 2018-10-22 |
| 1518485135 | Holly Marie Barbee | Dietitian, Registered | 4417 N 6th St., Philadelphia, PA 19140 | 2017-09-04 |
| 1033630892 | Jessica Anne Tang | Otolaryngology | 3440 North Broad Street, Kresge West #300, Philadelphia, PA 19140 | 2017-07-03 |
| 1710416870 | Narsis Aminian | Internal Medicine | 3401 N Broad Street, Temple Hospital, Neurlogy Deartment, Philadelphia, PA 19140 | 2017-06-12 |
| 1629527338 | Alaa Khatib | Pharmacist | 4616-4650 N. Broad Street, Philadelphia, PA 19140 | 2016-09-23 |
| 1548716160 | Direct Home Health Care | In Home Supportive Care | 3550 N 9th St, Philadelphia, PA 19140 | 2016-09-01 |
| 1306399225 | Zaima Choudhry | Student in an Organized Health Care Education/Training Program | Department of Pulmonary and Sleep Medicine, 3401 North Broad Street, Zone C - 7th Floor, Philadelphia, PA 19140 | 2016-07-27 |
| 1891145504 | Saji Mathew | Pharmacist | 4530n 5th Street, Philadelphia, PA 19140 | 2016-06-14 |
| Find all providers in zip 19140 | ||||
| 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 |
|---|---|---|---|---|
| 1386257871 | Shi Shi Collection | Prosthetic/Orthotic Supplier | 6128 W Jefferson St, Philadelphia, PA 19151-3902 | 2020-08-25 |
| 1750900114 | Experience Lemieux | Prosthetic/Orthotic Supplier | 900 N 19th St Unit 3247, Philadelphia, PA 19130-1561 | 2020-04-15 |
| 1891337051 | Pamela Howard | Prosthetic/Orthotic Supplier | 5805 Germantown Ave Fl 2, Philadelphia, PA 19144-2138 | 2019-10-09 |
| 1205375706 | D.d. Daughters Lace Wig Beautique | Prosthetic/Orthotic Supplier | 424 W Chew Ave, Salon, 1st Floor, Philadelphia, PA 19120-2356 | 2017-02-16 |
| 1134482169 | Independence Prosthetics-orthotics, Inc. | Prosthetic/Orthotic Supplier | 1500 S Christopher Columbus Blvd, Floor 2, Philadelphia, PA 19147-5504 | 2012-06-25 |
| 1366681470 | Best Medical Supply, Inc. | Prosthetic/Orthotic Supplier | 13023 Bustleton Ave, Philadelphia, PA 19116-1672 | 2009-02-12 |
| 1932379765 | Cocco Enterprises Inc | Prosthetic/Orthotic Supplier | 2745 W. Passyunk Ave, Philadelphia, PA 19145-4012 | 2008-03-07 |
| 1942402003 | Reconstructive Orthopaedic Associates II, P.C. | Prosthetic/Orthotic Supplier | Novacare Complex, Two Novacare Way, Philadelphia, PA 19145 | 2007-06-01 |
| 1831314822 | Lenny's Pedorthics & Orthopedics Inc. | Prosthetic/Orthotic Supplier | 256 S 10th St, Philadelphia, PA 19107-6776 | 2007-04-16 |
| 1134129166 | Harry J Lawall & Son, Inc. | Prosthetic/Orthotic Supplier | 8028 Frankford Ave, Philadelphia, PA 19136-2616 | 2005-08-01 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19140 |
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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.