Provider Demographics
NPI:1699813543
Name:ORTHOPEDIC ALTERNATIVES, LTD.
Entity Type:Organization
Organization Name:ORTHOPEDIC ALTERNATIVES, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:SETH
Authorized Official - Last Name:TOSKY
Authorized Official - Suffix:
Authorized Official - Credentials:CO
Authorized Official - Phone:973-290-0146
Mailing Address - Street 1:18515 UNION TPKE
Mailing Address - Street 2:
Mailing Address - City:FRESH MEADOWS
Mailing Address - State:NY
Mailing Address - Zip Code:11366-1731
Mailing Address - Country:US
Mailing Address - Phone:718-264-9800
Mailing Address - Fax:
Practice Address - Street 1:218 RIDGEDALE AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:CEDAR KNOLLS
Practice Address - State:NJ
Practice Address - Zip Code:07927-2109
Practice Address - Country:US
Practice Address - Phone:973-290-0146
Practice Address - Fax:973-290-0102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2015-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ45PO00005500261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ45PO00005500OtherLICENSE
NY0138140001Medicare ID - Type Unspecified