GARDEN STATE ORTHOPAEDIC CENTER, INC. (NPI# 1922090950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922090950 |
| Entity Type | Organization |
| Organization Name | GARDEN STATE ORTHOPAEDIC CENTER, INC. |
| Practice Address |
9 Post Rd Suite 0p-1 Oakland NJ 07436-1618 |
| Practice Telephone | 2013375566 |
| Practice Fax Number | 2013371456 |
| Mailing Telephone | 2013375566 |
| Mailing Fax Number | 2013371456 |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. LOUIS J. HABERMAN (PRESIDENT) |
| Authorized Official Telephone | 2013375566 |
| Authorized Official Credential | C.P.O |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | NJ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 3897206 | 05 | |
| NJ | AETNA PROVIDER NUMBER | 36877 | 01 |
| Street Address |
9 POST RD SUITE 0P-1 |
| City | OAKLAND |
| State | NJ |
| Zip Code | 07436-1618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073948113 | Ira A Jacobs Dmd | Dentist | 9 Post Rd, Suite D8, Oakland, NJ 07436-1618 | 2013-09-09 |
| 1659716538 | Catalyst Counseling Services | Community/Behavioral Health | 9 Post Rd, Bldg Suite 6, Oakland, NJ 07436-1618 | 2013-05-06 |
| 1477886190 | Daniel Allen | Dentist | 9 Post Rd, Suite # M1a, Oakland, NJ 07436-1618 | 2009-09-14 |
| 1396078010 | Marvin Lagstein | Dentist | 9 Post Rd, Suite # M1a, Oakland, NJ 07436-1618 | 2009-09-14 |
| 1073779104 | Lawrence A Guarino Md Pa | Surgery | 9 Post Rd, Suite D-3, Oakland, NJ 07436-1618 | 2008-07-29 |
| 1124244884 | Richard Luther Bucher Jr. | Dentist | 9 Post Rd, Suite D5, Oakland, NJ 07436-1618 | 2007-04-18 |
| 1760607956 | Laser Dentistry of North Jersey, LLC. | Dentist | 9 Post Rd, Suite D5, Oakland, NJ 07436-1618 | 2007-04-15 |
| 1447378435 | Mountainview Medical Group PC | Internal Medicine | 9 Post Rd, Suite D7, Oakland, NJ 07436-1618 | 2007-03-27 |
| 1275658122 | Shahrzad Tajtaraghi | Dentist | 9 Post Rd, #d2 Oakland Family Dentistry Pa, Oakland, NJ 07436-1618 | 2007-03-20 |
| 1508909037 | Lawrence Allan Guarino | Surgery | 9 Post Rd, Suite D-3, Oakland, NJ 07436-1618 | 2007-02-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376065680 | Jade Chinesse West | Occupational Therapy Assistant | 21 Oswego Ave, Oakland, NJ 07436 | 2017-07-10 |
| 1932521101 | Joyce Thomas | Nurse Practitioner | 14 Post Rd., Oakland, NJ 07436 | 2014-01-07 |
| 1770849739 | James A Hertel | Pharmacist | 373 Ramapo Valley Road, Oakland, NJ 07436 | 2012-04-04 |
| 1841520616 | Megan E Brooks | Physical Therapist | 100 Bauer Drive, Oakland, NJ 07436 | 2009-12-30 |
| 1669621231 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 409 Ramapo Valley Rd, Oakland, NJ 07436 | 2008-09-18 |
| 1265691190 | Donna J Lombardi-goldfus | Pediatrics | 50 Overlook Ridge, Oakland, NJ 07436 | 2008-06-05 |
| 1962547836 | Marvin Lagstein D M D P A | Dentist | 9 Post Road, Suite M1a Longhill Medical Dental Center, Oakland, NJ 07436 | 2007-02-20 |
| 1275677304 | James Joseph Scillieri | Dentist | 19 Yawpo Ave., Oakland, NJ 07436 | 2007-02-20 |
| 1528125036 | Steven William Kennelly | Specialist/Technologist | Giants Stadium, East Rutherford, NJ 07436 | 2007-01-03 |
| 1306955042 | Maurice M Maccario | Oral & Maxillofacial Surgery | 180 Ramapo Valley Road, Oakland, NJ 07436 | 2006-08-29 |
| Find all providers in zip 07436 | ||||
| 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 |
|---|---|---|---|---|
| 1275083537 | Morgantown Orthotic & Prosthetic Center, Inc | Prosthetic/Orthotic Supplier | 360 W Liberty St, Oakland, MD 21550-1237 | 2016-10-11 |
| 1992793574 | Laurence of Oakland | Prosthetic/Orthotic Supplier | 3324 Webster St, Oakland, CA 94609 | 2005-10-07 |
| 1629629845 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 3300 Webster St Ste 1109, Oakland, CA 94609-3125 | 2019-09-28 |
| 1881177442 | Kickstart O&p, LLC | Prosthetic/Orthotic Supplier | 4651 Telegraph Ave, Oakland, CA 94609-2021 | 2018-09-10 |
| 1952798373 | Embrace Orthotics LLC | Prosthetic/Orthotic Supplier | 2710 Telegraph Ave, Suite 230, Oakland, CA 94612-1770 | 2015-04-23 |
| 1346423639 | Steven R. Young, Ocularist, Inc. | Prosthetic/Orthotic Supplier | 411 30th St, Suite 512, Oakland, CA 94609-3301 | 2007-12-10 |
| 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 |
| 1639789340 | Shantise Michelle Cranial Prosthesis | Prosthetic/Orthotic Supplier | 2816 Morris Ave Ste 20b, Union, NJ 07083-4849 | 2020-08-06 |
| 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 |
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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.