Provider Demographics
NPI:1154003515
Name:BAYONNE ORTHO FITTING LLC
Entity type:Organization
Organization Name:BAYONNE ORTHO FITTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MADHAT
Authorized Official - Middle Name:S
Authorized Official - Last Name:AMIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-471-7800
Mailing Address - Street 1:1139 EAST JERSEY ST
Mailing Address - Street 2:STE 109
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07201
Mailing Address - Country:US
Mailing Address - Phone:609-393-4949
Mailing Address - Fax:609-393-0064
Practice Address - Street 1:1139 EAST JERSEY ST
Practice Address - Street 2:STE 109
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07201
Practice Address - Country:US
Practice Address - Phone:609-393-4949
Practice Address - Fax:609-393-0064
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-04
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies