Provider Demographics
NPI:1790731701
Name:OERTEL ORTHOPEDICS INC.
Entity Type:Organization
Organization Name:OERTEL ORTHOPEDICS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:OTTO
Authorized Official - Last Name:OERTEL
Authorized Official - Suffix:
Authorized Official - Credentials:CPO, LPO
Authorized Official - Phone:908-688-1818
Mailing Address - Street 1:2095 US HWY 22 WEST
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-8401
Mailing Address - Country:US
Mailing Address - Phone:908-688-1818
Mailing Address - Fax:908-688-6116
Practice Address - Street 1:2095 ROUTE 22 W
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-8401
Practice Address - Country:US
Practice Address - Phone:908-688-1818
Practice Address - Fax:908-688-6616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2020-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7698402OtherNJ FAMILY/KID CARE
NJ2K1558OtherHEALTHNET
NJ559 301OtherGALAXY HEALTH
NJ0003965000OtherAMERIHEALTH
NJ7698402Medicaid
NJA2517685OtherOXFORD
NJ7698402OtherNJ FAMILY/KID CARE
NJ7698402Medicaid
NJ=========OtherCIGNA