=====================================================
General NPI Number Information
=====================================================
NPI Number | 1184576837
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | JAY ANN SHOP, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/13/2026
-----------------------------------------------------
Last Update Date | 02/13/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 30 REHILL AVE STE 1200
-----------------------------------------------------
City | SOMERVILLE
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08876-2550
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 215-942-0120
-----------------------------------------------------
Fax | 215-942-0130
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1954 COUNTY LINE RD
-----------------------------------------------------
City | HUNTINGDON VALLEY
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19006-1738
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 215-942-0120
-----------------------------------------------------
Fax | 215-942-0130
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGER
-----------------------------------------------------
Name | HOPE BEAR
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 267-966-2917
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------