Organization
BODY IN MOTION SPORTS & ORTHOPAEDICS, INC.
Active
Parent organization
BODY IN MOTION SPORT & ORTHOPAEDICS, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
BODY IN MOTION SPORT & ORTHOPAEDICS, INC.
Authorized official
JOHN C CAPUTO LO (PRESIDENT)
(732) 244-8700
Entity
Organization
Contact information
Practice address
784 FRANKLIN AVE, SUITE 110, FRANKLIN LAKES, NJ 07417-1306
(201) 848-5656
(201) 848-5567
Mailing address
PO BOX 385, LAKEWOOD, NJ 08701-0385
(201) 848-5656
(201) 848-5567
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
45OR00005400
NJ
332BC3200X
Customized Equipment (DME)
45OR00005400
NJ
335E00000X
Prosthetic/Orthotic Supplier
Primary
45OR00005400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0068225
—
NJ
Enumeration date
06/06/2013
Last updated
06/06/2013
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