Renew Hair Salon LLC

Primary specialty

Orthotic FitterTaxonomy code 225000000X

Legal business name

RENEW HAIR SALON LLC

Practice address

75 Sunset Rd Ste 2
Willingboro, NJ 08046-1450

Phone

(609) 531-2276

NPI assigned

Feb 14, 2025

Last updated

Feb 14, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eunice FienaghaNPI 1598572752

Title

Owner

Phone

(609) 556-5730

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eunice Fienagha, RENEW HAIR SALON LLC

  • Prosthetic/Orthotic Supplier
  • Willingboro, NJ
  • NPI 1598572752
  NPD Authorized official

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

{
    "created_epoch": "1739491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739491200000",
    "number": "1043015944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 NEWTOWN LN",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "08046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 SUNSET RD STE 2",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080461450",
            "telephone_number": "609-531-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW HAIR SALON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-14",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-10",
        "status": "A",
        "authorized_official_last_name": "FIENAGHA",
        "authorized_official_first_name": "EUNICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-556-5730"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthotic Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthotic Fitter in Willingboro, NJ
• Providers in Willingboro, NJ by specialty
• Orthotic Fitter in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.