Active NPI
New England Wig Clinic LLC
- Durable Medical Equipment & Medical Supplies
- Woonsocket, RI
National Provider Identifier
1003671223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- NEW ENGLAND WIG CLINIC LLC
- Practice address
- 614 N Main St
Woonsocket, RI 02895-1155 - Phone
- (401) 484-0202
- Fax
- (508) 699-3707
- NPI assigned
- Feb 16, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Renee Lugo, CRANIAL PROST SPECIA
- Title
- Co-Owner
- Phone
- (401) 484-0202
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
614 N Main St
Woonsocket, RI 02895-1155
Mailing address
614 N Main St
Woonsocket, RI 02895-1155
Phone (401) 484-0202
National Provider Directory
National Provider DirectoryLocations
614 N Main St
Woonsocket, RI 02895
Phone (401) 484-0202
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Prosthetic/Orthotic Supplier
- Woonsocket, RI
- NPI 1326803644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708041600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708473600000",
"number": "1003671223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "614 N MAIN ST",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028951155",
"telephone_number": "401-484-0202",
"fax_number": "508-699-3707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "614 N MAIN ST",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028951155",
"telephone_number": "401-484-0202",
"fax_number": "508-699-3707"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW ENGLAND WIG CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-16",
"last_updated": "2024-02-21",
"certification_date": "2024-02-21",
"status": "A",
"authorized_official_last_name": "LUGO",
"authorized_official_first_name": "RENEE",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "401-484-0202",
"authorized_official_credential": "CRANIAL PROST SPECIA"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woonsocket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.