Provider Demographics
NPI:1023368800
Name:SUNSHINE PROSTHETICS AND ORTHOTICS
Entity Type:Organization
Organization Name:SUNSHINE PROSTHETICS AND ORTHOTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:BROOKE
Authorized Official - Middle Name:
Authorized Official - Last Name:ARTESI
Authorized Official - Suffix:
Authorized Official - Credentials:CPO,LPO
Authorized Official - Phone:973-610-6678
Mailing Address - Street 1:1700 ROUTE 23
Mailing Address - Street 2:SUITE 180
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-7536
Mailing Address - Country:US
Mailing Address - Phone:973-696-8100
Mailing Address - Fax:973-696-8101
Practice Address - Street 1:1700 ROUTE 23
Practice Address - Street 2:SUITE 180
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-7536
Practice Address - Country:US
Practice Address - Phone:973-696-8100
Practice Address - Fax:973-696-8101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-19
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ45PR00003500335E00000X
NJ45OR00003100335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier