Organization Active NPI

Chaw Wealth New Jersey LLC

  • Pedorthist
  • Summit, NJ
National Provider Identifier
1164020970
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PedorthistTaxonomy code 224L00000X
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

Updated by the provider on Oct 14, 2020

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)CodeLicenseStatePrimary
PedorthistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
7830408OtherNJMEDICAID PROVIDER NUMBER

Other names 1

  • Walkwell Shoes Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Chaw Wealth New Jersey LLC413 Springfield Ave, Summit, NJ 07901-2603(908) 273-7979 Orthoses: Off-The-Shelf|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Dec 9, 2020

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.