Imperial Shoe Store Co Inc in Jersey City - Prosthetic/orthotic Supplier
Imperial Shoe Store Co Inc - NPI 1619193976
Imperial Shoe Store Co Inc is a Prosthetic/orthotic Supplier in Jersey City, New Jersey. Imperial Shoe Store Co Inc practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Imperial Shoe Store Co Inc is 1619193976. The last update date is 2020-08-22.
Imperial Shoe Store Co Inc's current location address is 516 West Side Ave, Jersey City, New Jersey. You can contact this provider via phone number 2013330419 and fax number 2013338087. The mailing address for Imperial Shoe Store Co Inc is 516 West Side Ave, Jersey City, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Imperial Shoe Store Co Inc |
|---|---|
| Address | 516 West Side Ave, Jersey City, New Jersey |
| Phone Number | 2013330419 |
| Fax Number | 2013338087 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP GEN MAN |
|---|---|
| Authorized Official Name | Marmora Peter Joseph |
| Credentials | C PED |
| Telephone Number | 2013330419 |
NPI Number Detail
| NPI Number | 1619193976 |
|---|---|
| Provider Enumeration Date | 2007-04-17 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 516 West Side Ave |
|---|---|
| City | Jersey City |
| State | New Jersey (NJ) |
| Post Code | 73041516 |
| Phone Number | 2013330419 |
| Fax Number | 2013338087 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetic/orthotic Supplier |
|---|---|
| Taxonomy | 335E00000X |
|
Definition: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological f |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5517702 | NJ | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Imperial Shoe Store Co Inc by the Centers for Medicare & Medicaid Services (CMS)?
The Imperial Shoe Store Co Inc has been assigned the NPI (National Provider Identifier) 1619193976. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Imperial Shoe Store Co Inc is geographically located?
The Imperial Shoe Store Co Inc is physically situated at the following location: 516 West Side Ave, Jersey City, NJ, 73041516.
What is the Imperial Shoe Store Co Inc's area of specialization and corresponding taxonomy classification?
The Imperial Shoe Store Co Inc's specialty field is Prosthetic/orthotic Supplier, and it falls under the taxonomy code 335E00000X, which categorizes healthcare providers based on their specialties.
On what date was the 1619193976 assigned to Imperial Shoe Store Co Inc?
The Imperial Shoe Store Co Inc was issued its 1619193976 on 2007-04-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Imperial Shoe Store Co Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Imperial Shoe Store Co Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
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