Organization Active NPI

Have Shoes Will Travel LLC

  • Durable Medical Equipment & Medical Supplies
  • Cliffside Park, NJ
National Provider Identifier
1093999039
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HAVE SHOES WILL TRAVEL LLC
Practice address
724 Anderson Ave
Cliffside Park, NJ 07010-2029
Phone
(201) 366-4101
Fax
(201) 917-3645
NPI assigned
Dec 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2015

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

Authorized official

Name
Ms. Marci BarronNPI 1942376801
Title
President
Phone
(201) 366-4101

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)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

724 Anderson Ave
Cliffside Park, NJ 07010-2029

Mailing address

724 Anderson Avenue
Cliffside Park, NJ 07010-2172
Phone (201) 366-4101

Other identifiers 1

IdentifierTypeStateIssuer
0016489MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930043837 NJ DME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Orthotic-Prosthetic 3779798053 Practice locations: Cliffside Park, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1093999039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 ANDERSON AVENUE",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070102172",
            "telephone_number": "201-366-4101",
            "fax_number": "201-917-3645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 ANDERSON AVE",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070102029",
            "telephone_number": "201-366-4101",
            "fax_number": "201-917-3645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVE SHOES WILL TRAVEL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "BARRON",
        "authorized_official_first_name": "MARCI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-366-4101",
        "authorized_official_name_prefix": "Ms."
    },
    "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": "0016489",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cliffside Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.