Provider Demographics
NPI:1790782076
Name:ALLIED ORTHOTICS & PROSTHETICS, LLC
Entity Type:Organization
Organization Name:ALLIED ORTHOTICS & PROSTHETICS, LLC
Other - Org Name:ALLIED ORTHOTICS AND PROSTHETICS, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CUFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-328-3340
Mailing Address - Street 1:100 YORKTOWN PLAZA
Mailing Address - Street 2:
Mailing Address - City:ELKINSPARK
Mailing Address - State:PA
Mailing Address - Zip Code:19027-1420
Mailing Address - Country:US
Mailing Address - Phone:215-576-1888
Mailing Address - Fax:215-576-1840
Practice Address - Street 1:100 YORKTOWN PLZ
Practice Address - Street 2:
Practice Address - City:ELKINS PARK
Practice Address - State:PA
Practice Address - Zip Code:19027-1420
Practice Address - Country:US
Practice Address - Phone:215-576-1888
Practice Address - Fax:215-576-1840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-01
Last Update Date:2017-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001720042003Medicaid
PA001720042003Medicaid
PA1220360001Medicare NSC