PROSTHETIC AMBULATION CENTER OF EXCELLENCE (NPI# 1215941976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215941976 |
| Entity Type | Organization |
| Organization Name | PROSTHETIC AMBULATION CENTER OF EXCELLENCE |
| Practice Address |
522 Anderson Ave Cliffside Park NJ 07010-1636 |
| Practice Telephone | 2019433900 |
| Practice Fax Number | 2019439055 |
| Mailing Telephone | 2019433900 |
| Mailing Fax Number | 2019439055 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. MAUREEN ANNE VALENTI (SENIOR PHYSICAL THERAPIST) |
| Authorized Official Telephone | 2019433900 |
| Authorized Official Credential | R.P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0900X |
Clinic/Center Specialization: Amputee |
Ambulatory Health Care Facilities |
| Street Address |
522 ANDERSON AVE |
| City | CLIFFSIDE PARK |
| State | NJ |
| Zip Code | 07010-1636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861473696 | The Ortho Remedy, Inc. | Prosthetic/Orthotic Supplier | 522 Anderson Ave, Cliffside Park, NJ 07010-1636 | 2005-11-09 |
| 1922012459 | Maureen Anne Valenti | Physical Therapist | 522 Anderson Ave, Cliffside Park, NJ 07010-1636 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841715026 | Clifford Bachiman | Physical Therapist | 550 Kearney Ave, Cliffside Park, NJ 07010 | 2017-08-08 |
| 1699152181 | Rai Yeon Kang | Podiatrist | 663 Palisade Ave Ste 302, Cliffside Park, NJ 07010 | 2015-05-04 |
| 1699175372 | Hoa Chu-le | Pharmacist | 729 Anderson Ave, Cliffside Pk, NJ 07010 | 2014-08-29 |
| 1780923094 | Cliffside Park Public Schools | Local Education Agency (LEA) | School #3 Cst - 397 Palisade Avenue, Cliffside Park, NJ 07010 | 2013-02-06 |
| 1821340399 | Jonathan Mickulik | Physical Therapist | 590 Anderson Ave., Cliffside Park, NJ 07010 | 2012-10-09 |
| 1730455056 | Larissa Seymour | Psychologist | 100 Winston Dr, 7 Gs, Cliffside Park, NJ 07010 | 2012-03-30 |
| 1215174941 | Kyu-han Kim | Family Medicine | 1 Towne Centre Drive, Cliffisde Park, NJ 07010 | 2009-01-16 |
| 1982856357 | Ds Dental Arts | Dentist | 634 Anderson Avenue, Cliffside Park, NJ 07010 | 2008-10-16 |
| 1902060619 | Jennifer Gyi | Pharmacist | 663 Palisades Ave, Suite 205, Cliffside Park, NJ 07010 | 2008-07-11 |
| 1962696609 | Alexander I Karapetyan | Dentist | 550 Anderson Ave, Cliffside Park, NJ 07010 | 2007-09-05 |
| Find all providers in zip 07010 | ||||
| Taxonomy Code | 261QA0900X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Amputee |
| An entity, facility, or distinct part of a facility providing counseling, fitting, custom design, prescriptive, and training services related to congenital or postoperative absence of all or part of a limb or limbs. |
| Notes: [7/1/2003: new] |
| City | CLIFFSIDE PARK |
| Zip Code | 07010 |
Please comment or provide details below to improve the information on PROSTHETIC AMBULATION CENTER OF EXCELLENCE.
| 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.