| NPI | 1700017811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN C. CAPUTO Owner/President 732-244-8700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: NJ 450R00005400) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NJ 450R00005400) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NJ 450R00002200) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NJ 45PR00000700) | |
| 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: NJ 450R00005400) | |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2021-03-22 |