Active NPI
Chaw Wealth New Jersey LLC
- Pedorthist
- Summit, NJ
National Provider Identifier
1164020970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pedorthist
- Legal business name
- CHAW WEALTH NEW JERSEY LLC
- Doing business as
- Walkwell Shoes
- Practice address
- 413 Springfield Ave
Summit, NJ 07901-2603 - Phone
- (908) 273-7979
- Fax
- (908) 273-7617
- NPI assigned
- Oct 14, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Camelia Walker
- Title
- Owner
- Phone
- (347) 232-3641
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pedorthist | 224L00000X | Primary |
Addresses
Primary practice location
413 Springfield Ave
Summit, NJ 07901-2603
Mailing address
413 Springfield Ave
Summit, NJ 07901-2603
Phone (908) 273-7979
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7830408 | Other | NJ | MEDICAID PROVIDER NUMBER |
Other names 1
- Walkwell Shoes
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Chaw Wealth New Jersey LLC | Orthoses: Off-The-Shelf|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
413 Springfield Ave
Summit, NJ 07901
Phone (908) 273-7979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1602633600000",
"number": "1164020970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "413 SPRINGFIELD AVE",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "079012603",
"telephone_number": "908-273-7979",
"fax_number": "908-273-7617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "413 SPRINGFIELD AVE",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "079012603",
"telephone_number": "908-273-7979",
"fax_number": "908-273-7617"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHAW WEALTH NEW JERSEY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-14",
"last_updated": "2020-10-14",
"certification_date": "2020-10-14",
"status": "A",
"authorized_official_last_name": "WALKER",
"authorized_official_first_name": "CAMELIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "347-232-3641"
},
"taxonomies": [
{
"code": "224L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pedorthist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID PROVIDER NUMBER",
"identifier": "7830408",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Walkwell Shoes",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Summit, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.