ADVANCE PROSTHETIC AND ORTHOTIC INC — NPI 1750844239 (Licensed & Credentialed Respiratory, Developmental, Rehabilitative, and Restorative Service Providers

CMS-1500 Box 24J / 33a • NPI

1750844239

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

224P00000X (CMS 56)

Licensed & Credentialed Respiratory, Developmental, Rehabilitative, and Restorative Service Providers — Prosthetist

Box 32 Service Location & ZIP+4

111 DEAN DR, TENAFLY, NJ, 07670-2764

✓ 9-Digit EDI 837 ZIP+4 (07670-2764)

Practice Phone & Referral Fax

(201) 429-6960

Fax: (201) 429-6961

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1750844239 (ADVANCE PROSTHETIC AND ORTHOTIC INC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1750844239` (NPI-2 Organization / Facility)
Provider / Legal Name	ADVANCE PROSTHETIC AND ORTHOTIC INC
Plain-English Specialty	Licensed & Credentialed Respiratory, Developmental, Rehabilitative, and Restorative Service Providers — Prosthetist NUCC Code: `224P00000X` (Prosthetist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	111 DEAN DR, TENAFLY, NJ, 07670-2764
Practice Telephone / Fax	Tel: (201) 429-6960 \| Fax: (201) 429-6961
Administrative Mailing Address	51 CURTMANTLE RD, MICKLETON, NJ, 08056-1263
Enumeration & Last Sync	Enumerated: 2019-04-10 \| CMS Record Updated: 2023-07-25
Authorized Official	MATHEWS MANCHA (DIRECTOR)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

111 DEAN DR, TENAFLY, NJ, 07670-2764

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Plain-English Taxonomy & CMS Crosswalk (224P00000X)

What Does Taxonomy Code 224P00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 224P00000X translates to:
"Licensed & Credentialed Respiratory, Developmental, Rehabilitative, and Restorative Service Providers — Prosthetist"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 56 (Individual Certified Prosthetist) • CMS Code 57 (Individual Certified Prosthetist-Orthotist) • CMS Code B2 (Pedorthic personnel)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Prosthetist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ADVANCE PROSTHETIC AND ORTHOTIC INC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`222Z00000X` — Plain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative, and Restorative Service Providers — Orthotist	State: N/A \| License: `Verified` \| Primary: Secondary
`224P00000X` — Prosthetist Plain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative, and Restorative Service Providers — Prosthetist	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ADVANCE PROSTHETIC AND ORTHOTIC INC (NPI #1750844239)