420 Boulevard, Suite 207, Mountain Lakes, NJ 07046
Phone
(973) 299-7071
Listed under
Other O&P practices
NPI
1417119140
NPI status
Active in the NPPES registry
Provider type
Organization (practice, clinic or company)
Registered specialty (self-reported taxonomy)
Prosthetic/Orthotic Supplier (335E00000X)
NPI first issued
Jun 25, 2008
NPI record last updated
Jul 21, 2022
NPI 1417119140 is active in the federal NPPES registry (CMS). Source: NPPES NPI Registry (CMS) (record). Data as of 2026-09-30.
What these registry facts mean
The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an organization, so it may cover several clinicians at this location. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Prosthetic/Orthotic Supplier is a supplier taxonomy: it describes a business that provides artificial limbs and braces, not an individual practitioner's certification. Ask which staff are certified (for example CPO, CP or CO through the American Board for Certification or the Board of Certification/Accreditation) and whether your state requires a license.
Checking credentials: the NPI record shows the business's registration, not any person's certification. Certification can be checked with the American Board for Certification (abcop.org) or the Board of Certification/Accreditation (bocusa.org), and some states license practitioners; check with your state board.