DOC SHOES LLC. NPI 1518137405

NPI Information

NPI: 1518137405
Provider Name: DOC SHOES LLC.
Classification: Orthotic Fitter - 225000000X
Entity Type: Organization
Address:
2717 MORRIS AVENUE
UNION, NJ
ZIP 07083
Phone: (908) 349-8014
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DOC SHOES LLC. is an orthotic fitter in Union, NJ. The provider is an individual trained in the management of fitting prefabricated orthoses. DOC SHOES LLC. NPI is 1518137405. The provider is registered as an organization entity type.

The provider's business location address is:

2717 MORRIS AVENUE
UNION, NJ
ZIP 07083
Phone: (908) 349-8014
Fax: (908) 349-8014

The provider's authorized official is Brian J. Mulcahy .
The authorized official title is Certified Pedorthist and has the following contact phone number (908) 349-8014.

The enumeration date for this NPI number is 3/6/2008 and was last updated on 5/27/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	335E00000X	Prosthetic/Orthotic Supplier		964	MINNESOTA	No
2	225000000X	Orthotic Fitter		964	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8502501	MEDICAID	NEW JERSEY
2	3875790001	MEDICARE NSC	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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