Organization Active NPI

The Exquisite Fit, LLC

  • Mastectomy Fitter
  • Cranberry Township, PA
National Provider Identifier
1104417831
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mastectomy FitterTaxonomy code 224900000X
Legal business name
THE EXQUISITE FIT, LLC
Practice address
20421 Route 19 Ste 105
Cranberry Township, PA 16066-7514
Phone
(610) 730-1158
NPI assigned
Jan 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Authorized official

Name
Michael Stutzenburg
Title
Vice President
Phone
(610) 730-1158

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mastectomy FitterGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 224900000X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

20421 Route 19 Ste 105
Cranberry Township, PA 16066-7514

Mailing address

20421 Route 19 Ste 105
Cranberry Township, PA 16066-7514
Phone (610) 730-1158

National Provider Directory

National Provider Directory

Locations

20421 Route 19
Ste 105
Cranberry Twp, PA 16066
Phone (610) 730-1158

NPI Registry JSON

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1104417831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20421 ROUTE 19 STE 105",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160667514",
            "telephone_number": "610-730-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20421 ROUTE 19 STE 105",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160667514",
            "telephone_number": "610-730-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EXQUISITE FIT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "STUTZENBURG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "610-730-1158"
    },
    "taxonomies": [
        {
            "code": "224900000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Mastectomy Fitter",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranberry Township, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.