Healthcare Provider Details

I. General information

NPI: 1609704063
Provider Name (Legal Business Name): FLORA SHEPELSKY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DESIGN BY FLORA

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

437 CEDAR LN
TEANECK NJ
07666-1708
US

IV. Provider business mailing address

437 CEDAR LN
TEANECK NJ
07666-1708
US

V. Phone/Fax

Practice location:
  • Phone: 201-833-4060
  • Fax:
Mailing address:
  • Phone: 201-833-4060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: