NPI Code Detail JSON Logo

1710005988 NPI number — A & J SHOE CORP

NPI Number: 1710005988
Health Care Provider/Practitioner: A & J SHOE CORP

Information about “1710005988” NPI (A & J SHOE CORP) exists in 1710005988 in HTML format HTML  |  1710005988 in plain Text format TXT  |  1710005988 in PDF (Portable Document Format) PDF  |  1710005988 in an XML format XML  formats.

NPI Number : 1710005988 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1710005988",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "A & J SHOE CORP",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "499 WESTPORT AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NORWALK",
    "MailingAddressStateName": "CT",
    "MailingAddressPostalCode": "06851",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "203-847-9400",
    "MailingAddressFaxNumber": "203-845-0304",
    "FirstLinePracticeLocationAddress": "499 WESTPORT AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NORWALK",
    "PracticeLocationAddressStateName": "CT",
    "PracticeLocationAddressPostalCode": "06851",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "203-847-9400",
    "PracticeLocationAddressFaxNumber": "203-845-0304",
    "EnumerationDate": "03/27/2007",
    "LastUpdateDate": "06/17/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "LEVY",
    "AuthorizedOfficialFirstName": "SANDRA",
    "AuthorizedOfficialMiddleName": "LEE",
    "AuthorizedOfficialTitle": "PEDORTHIST",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "CPED",
    "AuthorizedOfficialTelephoneNumber": "203-847-9400",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "335E00000X",
          "TaxonomyName": "Prosthetic/Orthotic Supplier",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "332B00000X",
          "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.