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JEFFERSON PROSTHETIC & ORTHOTIC COMPANY, INC.
NPI 1609089523
Prosthetic/Orthotic Supplier in South Orange, NJ

Active since May 07, 2007
120 PROSPECT ST, SOUTH ORANGE, NJ 07079(973) 762-0780(973) 762-1480 Get Directions Write a Review

NPPES record last updated: October 5, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jefferson Prosthetic & Orthotic Company, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFERSON PROSTHETIC & ORTHOTIC COMPANY, INC. (NPI 1609089523) is a healthcare organization registered as a prosthetic/orthotic supplier in South Orange, New Jersey and active in the NPI registry since May 2007. The organization lists Simon C. W. Chang, President, as its authorized official.

NPPES Registry Identity

NPI1609089523
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameJEFFERSON PROSTHETIC & ORTHOTIC COMPANY, INC.
Location Address120 PROSPECT STSouth Orange, NJ 07079-2103
Mailing Address120 Prospect StSouth Orange, NJ 07079-2103 · (973) 762-0780 · Fax (973) 762-1480
Phone(973) 762-0780
Fax(973) 762-1480
Organization SubpartNo
Authorized OfficialSimon C. W. ChangPresident · (973) 762-0780
Enumeration DateMay 7, 2007
Last NPPES UpdateOctober 5, 2011
✔ NPI 1609089523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
License✔ Licensed in NJ · 45PO00002400
Definition
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.
120 PROSPECT ST, South Orange, NJ 07079
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Other Identifiers 1

Medicare NSC0209180001NJ

Medical Equipment Supplier Medicare DMEPOS 4

Medicare supplier enrollment and the product categories Jefferson Prosthetic & Orthotic Co carries, from the Medicare DMEPOS supplier directory.

Jefferson Prosthetic & Orthotic Co

DMEPOS supplier · South Orange, NJOperated by Jefferson Prosthetic & Orthotic Company, Inc.
✔

Accepts Medicare assignment

Jefferson Prosthetic & Orthotic Co agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20654843
Medicare Participant SinceJanuary 1, 1998
Supplier Location120 Prospect StSouth Orange, NJ 07079
Phone(973) 762-0780
Supplier Specialties
Orthotic Personnel Prosthetic Personnel

Medicare Product Categories

Orthoses: Custom Fabricated
Custom met pads, Custom heel pads, Custom heel spur pads
Orthoses: Prefabricated (Non-Custom Fabricated)
Met pads, Heel pads, Heel spur pads
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Limb Prostheses
Prosthetic arms, Prosthetic feet, Prosthetic knees
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MARION PATRICIA HOUGHTON L.M.F.T.
Marriage & Family Therapist
120 PROSPECT ST, SUITE D
SOUTH ORANGE, NJ 07079
Essex County (973) 762-9130
KIDZDOC MD PEDIATRICS LLC
Pediatrics
120 PROSPECT ST
SOUTH ORANGE, NJ 07079
Essex County (973) 732-1718

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jefferson Prosthetic & Orthotic Company, Inc.'s NPI number?

The NPI number for Jefferson Prosthetic & Orthotic Company, Inc. is 1609089523. It was assigned to this organization in the NPPES registry on May 7, 2007.

Where is Jefferson Prosthetic & Orthotic Company, Inc. located?

Jefferson Prosthetic & Orthotic Company, Inc. is located at 120 Prospect St, South Orange, NJ 07079. The listed phone number is (973) 762-0780.

What is Jefferson Prosthetic & Orthotic Company, Inc.'s specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Does Jefferson Prosthetic & Orthotic Company, Inc. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Jefferson Prosthetic & Orthotic Co accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Jefferson Prosthetic & Orthotic Company, Inc. was last updated on October 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.