SHANTISE MICHELLE CRANIAL PROSTHESIS (NPI# 1639789340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639789340 |
| Entity Type | Organization |
| Organization Name | SHANTISE MICHELLE CRANIAL PROSTHESIS |
| Practice Address |
2816 Morris Ave Ste 20b Union NJ 07083-4849 |
| Practice Telephone | 9739013640 |
| Practice Fax Number | 9085741259 |
| Mailing Telephone | 9739013640 |
| Mailing Fax Number | 9085741259 |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2020-08-06 |
| Authorized Official Name | MS. SHANTISE PARKER (OWNER) |
| Authorized Official Telephone | 9739013640 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Street Address |
2816 MORRIS AVE STE 20B |
| City | UNION |
| State | NJ |
| Zip Code | 07083-4849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811535396 | Accuview Diagnostic Services Inc | Radiology | 1620 Vauxhall Road, Suite 309, Union, NJ 07083 | 2019-12-16 |
| 1487298543 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1333 Glendale Pl, Union, NJ 07083 | 2019-11-01 |
| 1578116570 | Care Assist LLC | Home Health Aide | 2333 Morris Ave., Suite C 214, Union, NJ 07083 | 2019-07-18 |
| 1902462195 | Community Access Unlimited Inc | Community/Behavioral Health | 1 Hendricks Drive, Union, NJ 07083 | 2019-05-14 |
| 1265918577 | Francesca Viola-hamilton | Social Worker | Cooperative Counseling Services, 407 Chestnut St., Union, NJ 07083 | 2018-07-19 |
| 1891285839 | Robert E. West Jr. | Social Worker | 407 Chestnut St., Union, NJ 07083 | 2018-05-15 |
| 1861916579 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 941 945 Stuyvesant Ave, Union, NJ 07083 | 2017-08-03 |
| 1740718220 | Afnan Talat | Family Medicine | 2317 Center Island, Route 22, Union, NJ 07083 | 2017-05-30 |
| 1366976953 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2202 Halsey Street, Union, NJ 07083 | 2017-04-20 |
| 1518490275 | Sabri Youssef | Physician Assistant | 855 Lehigh Avenue, Advanced Spine Surgery Center. Suite 203, Union, NJ 07083 | 2017-04-09 |
| Find all providers in zip 07083 | ||||
| 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 |
|---|---|---|---|---|
| 1780842161 | Galloping Hill Surgical LLC | Prosthetic/Orthotic Supplier | 1350 Galloping Hill Rd, Union, NJ 07083-8937 | 2008-06-02 |
| 1518137405 | Doc Shoes LLC. | Prosthetic/Orthotic Supplier | 2717 Morris Avenue, Union, NJ 07083 | 2008-03-06 |
| 1790731701 | Oertel Orthopedics Inc. | Prosthetic/Orthotic Supplier | 2095 Route 22 W, Union, NJ 07083-8401 | 2006-05-25 |
| 1326609645 | Axes Physical Therapy, LLC | Prosthetic/Orthotic Supplier | 21 Silo Dr, Union, MO 63084-4917 | 2019-06-26 |
| 1144401092 | Allcare Orthotic & Prosthetic Services, LLC | Prosthetic/Orthotic Supplier | 2333 Morris Ave, Suite C-210, Union, NJ 07083-5714 | 2007-11-20 |
| 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 |
| 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 |
| 1932612660 | Rothman Institute of New Jersey, P.a. | Prosthetic/Orthotic Supplier | 106 South Dennis Road, Building 200, Suite 200, Cape May Court House, NJ 08210 | 2017-11-16 |
| Find all providers with the same taxonomy | ||||
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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.