Registration Header Parameters

Normalized identity and public registration information from FDA records.

Source

FDA Device Registration & Listing

Record Type

Device registration/listing

Registration Number

3029961124

FEI Number

3029961124

Entity Name

PT. SUKSES ABADI INDONESIA

City/State/Country

Kabupaten Nganjuk Jawa Timur, ID

Establishment Address

Jl. Gondang Lengkong, Desa Gondang, Kec. Gondang, Dusun Karangpedat, Kabupaten Nganjuk Jawa Timur 64451, ID

Establishment Type(s)

Manufacture Medical Device

Owner / Operator

PT. Sukses Abadi Indonesia (Owner Number: 10089216)

Owner / Operator Contact Address

Jl. Gondang Lengkong, Desa Gondang, Kec. Gondang, Dusun Karangpedat, Kabupaten Nganjuk, ID-JI 64451, ID

Initial Importer Flag

Expiration Date (Year)

2026

510(k) Number

N/A

PMA Number

N/A

All Registered Proprietary Names

MX608UG5 WX608WP5 MX608AB5 MX608UB5 WX608AB5 MX608WN5 WX608WB5 MX608AW5 MX608WR5

Registered Product Listings

Product Code	Device Name	Medical Specialty	Device Class	Regulation Number	Created Date
KNP	Orthosis, Corrective Shoe	Physical Medicine	Class 1	890.3475	2023-11-15

Official Correspondent

Seong Kil Hong

US Agent Details

Jennifer Wong Email: Jennifer.wong@newbalance.com Phone: (510) 2199235

Related Public Records

Same Entity

PT. Sukses Abadi Indonesia

View consolidated registration, premarket clearance, and recall records for this applicant.

View Entity Profile →

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Source Citation & Summary: This public preview is extracted from openFDA device registration and listing logs under registration number 3029961124. Last updated year: 2026. Please use registration number 3029961124 when referencing this establishment in official correspondence.