NPIMap

Organization Active NPI

Jay Ann Shop, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Huntingdon Valley, PA
National Provider Identifier
1174713523
Registry record updated Dec 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
6000004961 Issued in PA
Legal business name
JAY ANN SHOP, INC.
Practice address
2052 County Line Rd
Huntingdon Valley, PA 19006-1739
Phone
(215) 942-0120
Fax
(215) 942-0130
NPI assigned
Jul 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2017

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

Authorized official

Name
Farrell Friedenberg
Title
Owner
Phone
(215) 942-0120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 6000004961 PA Primary

Addresses

Primary practice location

2052 County Line Rd
Huntingdon Valley, PA 19006-1739

Mailing address

1954 County Line Rd
Huntingdon Valley, PA 19006-1738
Phone (215) 942-0120

National Provider Directory

National Provider Directory
Tax ID family
Jay Ann Shop Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2052 County Line Rd
Huntingdon Valley, PA 19006
Phone (215) 942-0120

Ownership & related parties

Subparts reporting this organization as parent 5

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512432000000",
    "number": "1174713523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1954 COUNTY LINE RD",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190061738",
            "telephone_number": "215-942-0120",
            "fax_number": "215-942-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2052 COUNTY LINE RD",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190061739",
            "telephone_number": "215-942-0120",
            "fax_number": "215-942-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY ANN SHOP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2017-12-05",
        "status": "A",
        "authorized_official_last_name": "FRIEDENBERG",
        "authorized_official_first_name": "FARRELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-942-0120"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "6000004961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon Valley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2017; 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.