Healthcare Provider Details

I. General information

NPI: 1558280834
Provider Name (Legal Business Name): SHOPANIOR LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 KILMER RD # 1073
EDISON NJ
08817-2432
US

IV. Provider business mailing address

6 KILMER RD # 1073
EDISON NJ
08817-2432
US

V. Phone/Fax

Practice location:
  • Phone: 855-562-6467
  • Fax:
Mailing address:
  • Phone: 855-562-6467
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: ABRANEIKA WALTERS
Title or Position: OWNER/CEO
Credential:
Phone: 914-979-3961