Schuster'S Shoes,Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SCHUSTER'S SHOES,INC.

Practice address

170 W White Horse Pike
Berlin, NJ 08009-2003

Phone

(856) 767-8774

Fax

(856) 767-5977

NPI assigned

Dec 21, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Phillip Watson I

Title

Owner

Phone

(856) 767-8774

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SCHUSTER'S SHOES,INC. Other name

Locations

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083778229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 W WHITE HORSE PIKE",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "080092003",
            "telephone_number": "856-767-8774",
            "fax_number": "856-767-5977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 W WHITE HORSE PIKE",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "080092003",
            "telephone_number": "856-767-8774",
            "fax_number": "856-767-5977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHUSTER'S SHOES,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-767-8774",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2692201",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SCHUSTER'S SHOES,INC.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Berlin, NJ
• Providers in Berlin, NJ by specialty
• Durable Medical Equipment & Medical Supplies in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.