Stern Shoe Repair Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

STERN SHOE REPAIR INC

Practice address

3321 75TH Ave Ste B
Landover, MD 20785-1519

Phone

(301) 583-0557

Fax

(301) 583-0557

NPI assigned

Oct 16, 2017

Organization subpart

No

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

Authorized official

Name

Joseph Allan Stern

Title

Owner

Phone

(301) 583-0557

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508112000000",
    "number": "1194236331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3321 75TH AVE STE B",
            "city": "LANDOVER",
            "state": "MD",
            "postal_code": "207851519",
            "telephone_number": "301-583-0557",
            "fax_number": "301-583-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 75TH AVE STE B",
            "city": "LANDOVER",
            "state": "MD",
            "postal_code": "207851519",
            "telephone_number": "301-583-0557",
            "fax_number": "301-583-0557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STERN SHOE REPAIR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-16",
        "last_updated": "2017-10-16",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-583-0557"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spectera
• Venna L. Spencer
• Timia Stagg-Simmons, LGPC
• Nekia A Staley-Neither, D.D.S
• Melissa Steger
• Olivia Stevens, LGPC
• Alanna Stewart
• Fehema Lutricia Stokes, LGPC
• Tiara Stokes
• Tia Stroud

• Durable Medical Equipment & Medical Supplies in Landover, MD
• Providers in Landover, MD by specialty
• Durable Medical Equipment & Medical Supplies in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.