NPIMap

Organization Active NPI

Harry J. Lawall & Son, Inc.

  • Prosthetic/Orthotic Supplier
  • Vineland, NJ
National Provider Identifier
1033187430
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
C0000151492 Issued in NJ
Legal business name
HARRY J. LAWALL & SON, INC.
Practice address
3071 E Chestnut Ave Ste E15
Vineland, NJ 08361-7847
Phone
(856) 691-7764
Fax
(856) 691-7147
NPI assigned
Mar 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Wayne Lawall, CPO
Title
President
Phone
(215) 338-6611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X C0000151492 NJ Primary

Addresses

Primary practice location

3071 E Chestnut Ave Ste E15
Vineland, NJ 08361-7847

Mailing address

3000 Cabot Blvd W
Langhorne, PA 19047-1800
Phone (215) 338-6611

Other identifiers 1

IdentifierTypeStateIssuer
0225711MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930011325 NJ DME Supplier - Certified Orth/Pros/PedorthistDME Supplier - Prosthetic Personnel 5193841781 Practice locations: Vineland, NJ

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Harry J. Lawall & Son, Inc.3071 E Chestnut Ave, Vineland, NJ 08361-7847(856) 691-7764 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items Accepts assignmentParticipating since Jan 1, 2009

National Provider Directory

National Provider Directory
Tax ID family
Harry J Lawall Son13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3071 E Chestnut Ave
Ste C9
Vineland, NJ 08361
Phone (856) 691-7764

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1033187430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 CABOT BLVD W",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471800",
            "telephone_number": "215-338-6611",
            "fax_number": "215-338-9579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3071 E CHESTNUT AVE STE E15",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083617847",
            "telephone_number": "856-691-7764",
            "fax_number": "856-691-7147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRY J. LAWALL & SON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-10",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "LAWALL",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-338-6611",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NJ",
            "license": "C0000151492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0225711",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.