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ADVANCE PROSTHETIC AND ORTHOTIC INC
NPI 1750844239
Prosthetist in Tenafly, NJ

Active since April 10, 2019
111 DEAN DR, TENAFLY, NJ 07670(201) 429-6960(201) 429-6961 Get Directions Write a Review

NPPES record last updated: July 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 25, 2023, Apr 10, 2019 (2 updates tracked since 2019).

About Advance Prosthetic And Orthotic Inc NPPES

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

ADVANCE PROSTHETIC AND ORTHOTIC INC (NPI 1750844239) is a healthcare organization registered as a prosthetist in Tenafly, New Jersey and active in the NPI registry since April 2019. The organization lists Mathews Mancha, Director, as its authorized official.

NPPES Registry Identity

NPI1750844239
Entity TypeOrganization
Primary Taxonomy224P00000X
Legal Business NameADVANCE PROSTHETIC AND ORTHOTIC INC
Location Address111 DEAN DRTenafly, NJ 07670-2764
Mailing Address51 Curtmantle RdMickleton, NJ 08056-1263 · (201) 317-3442 · Fax (201) 353-2343
Phone(201) 429-6960
Fax(201) 429-6961
Organization SubpartNo
Authorized OfficialMathews ManchaDirector · (201) 317-3443
Enumeration DateApril 10, 2019
Last NPPES UpdateJuly 25, 20232 updates tracked since enumeration
NPPES CertifiedJuly 25, 2023
✔ NPI 1750844239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224P00000X
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
Also ListedOrthotistTaxonomy 222Z00000X
111 DEAN DR, Tenafly, NJ 07670
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medical Equipment Supplier Medicare DMEPOS 6

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

Advance Prosthetic & Orthotic Inc

DMEPOS supplier · Tenafly, NJOperated by Advance Prosthetic And Orthotic Inc
✔

Accepts Medicare assignment

Advance Prosthetic & Orthotic Inc 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)20407007
Medicare Participant SinceMarch 11, 2021
Supplier Location111 Dean Dr Ste 1STenafly, NJ 07670
Phone(201) 429-6960
Supplier Specialties
MSC With Orthotic-Prosthetic

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
Diabetic Shoes and Inserts
Shoes, Socks, Insoles
Diabetic Shoes/Inserts - Custom
Custom fabricated shoes, socks, & insoles
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 11

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

DR. SAMAR ABRAR MD
Psychiatry & Neurology (Psychiatry)
111 DEAN DR
TENAFLY, NJ 07670
Bergen County (201) 568-8288
JASMIN D LUGO ATC, PT, DPT
Physical Therapist
111 DEAN DR
TENAFLY, NJ 07670
Bergen County (201) 503-7173
ASSOCIATED RETINAL CONSULTANTS, LLC
Durable Medical Equipment & Medical Supplies
111 DEAN DR
TENAFLY, NJ 07670
Bergen County (201) 567-5995
DR. VINOD PACHAGIRI SURESH M.D.
Psychiatry & Neurology (Psychiatry)
111 DEAN DR
TENAFLY, NJ 07670
Bergen County (201) 568-8288
IDANIA M HERNANDEZ
Occupational Therapist
111 DEAN DR
TENAFLY, NJ 07670
Bergen County (973) 337-3943
MS. MICHAL H PORATH PT, MS
Physical Therapist
111 DEAN DR
TENAFLY, NJ 07670
Bergen County (201) 503-7173
DR. MADONA AMGAD BESHAI OD
Optometrist
111 DEAN DR
TENAFLY, NJ 07670
Bergen County (201) 567-5995
MRS. ARLYN ABOUZIED LCSW
Social Worker (Clinical)
111 DEAN DR
TENAFLY, NJ 07670
Bergen County (201) 568-8288

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 Advance Prosthetic And Orthotic Inc's NPI number?

The NPI number for Advance Prosthetic And Orthotic Inc is 1750844239. It was assigned to this organization in the NPPES registry on April 10, 2019.

Where is Advance Prosthetic And Orthotic Inc located?

Advance Prosthetic And Orthotic Inc is located at 111 Dean Dr, Tenafly, NJ 07670. The listed phone number is (201) 429-6960.

What is Advance Prosthetic And Orthotic Inc's specialty?

The primary specialty registered for this NPI is Prosthetist with taxonomy code 224P00000X.

Does Advance Prosthetic And Orthotic Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Advance Prosthetic & Orthotic Inc 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 Advance Prosthetic And Orthotic Inc was last updated on July 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.