Serenity Wig Design LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SERENITY WIG DESIGN LLC

Practice address

461 US Highway 46
Fairfield, NJ 07004-1954

Phone

(973) 668-8336

NPI assigned

Jul 7, 2020

Last updated

Jul 7, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Susan Lupo

Title

Sole Proprietor

Phone

(973) 668-8336

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594080000000",
    "number": "1194343103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 PITCAIRN DR",
            "city": "ROSELAND",
            "state": "NJ",
            "postal_code": "070681019",
            "telephone_number": "973-668-8336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 US HIGHWAY 46",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070041954",
            "telephone_number": "973-668-8336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY WIG DESIGN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-07",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A",
        "authorized_official_last_name": "LUPO",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "973-668-8336",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Sciortino
• Paul Scollo, D.P.M.
• Rachel Secemski, DPT
• Laural Diane Senatore, FNP-C
• Salvatore E Senatore, DC
• Purvi A. Shah, RPH
• Ridwan Sharkar
• Rajinder Sharma, MD
• Shea Rehabilitation Services,LLC
• Shirish V. Bhatt M.D., P.C.

• Durable Medical Equipment & Medical Supplies in Fairfield, NJ
• Providers in Fairfield, NJ by specialty
• Durable Medical Equipment & Medical Supplies in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; 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.