Healthcare Provider Details

I. General information

NPI: 1003739251
Provider Name (Legal Business Name): MEDICAL WIGS N THINGS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 ROOSEVELT DR UNIT 231
EDISON NJ
08837-2335
US

IV. Provider business mailing address

1 ROOSEVELT DR UNIT 231
EDISON NJ
08837-2335
US

V. Phone/Fax

Practice location:
  • Phone: 732-407-3318
  • Fax:
Mailing address:
  • Phone: 732-407-3318
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: BEVERLYN ASHBY
Title or Position: MANAGING PARTNER
Credential:
Phone: 732-407-3318