Active NPI
Twisted Laces LLC
Doing business as Schusters Diabetic Shoes & Medical Supplies
- Durable Medical Equipment & Medical Supplies
- Berlin, NJ
National Provider Identifier
1235906611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- TWISTED LACES LLC
- Doing business as
- Schusters Diabetic Shoes & Medical Supplies
- Practice address
- 95 S White Horse Pike
Berlin, NJ 08009-2321 - Phone
- (856) 809-2930
- NPI assigned
- Dec 6, 2023
- Last updated
- Dec 11, 2023
- 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
- Joseph Watson
- Title
- Manager
- Phone
- (609) 809-2930
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary | |
| Pedorthist | 224L00000X | NU |
Addresses
Primary practice location
95 S White Horse Pike
Berlin, NJ 08009-2321
Mailing address
95 S White Horse Pike
Berlin, NJ 08009-2321
Phone (856) 809-2930
Other names 1
- Schusters Diabetic Shoes & Medical Supplies
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240806002341 | NJ | DME Supplier - Medical Supply Company With Pedorthic Personnel | 0749727949 | Practice locations: Berlin, NJ |
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 |
|---|---|---|
| Twisted Laces LLC | Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
95 S White Horse Pike
Berlin, NJ 08009
Phone (856) 809-2930
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702252800000",
"number": "1235906611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 S WHITE HORSE PIKE",
"city": "BERLIN",
"state": "NJ",
"postal_code": "080092321",
"telephone_number": "856-809-2930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 S WHITE HORSE PIKE",
"city": "BERLIN",
"state": "NJ",
"postal_code": "080092321",
"telephone_number": "856-809-2930"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TWISTED LACES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-06",
"last_updated": "2023-12-11",
"certification_date": "2023-12-11",
"status": "A",
"authorized_official_last_name": "WATSON",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "609-809-2930"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "224L00000X",
"taxonomy_group": "",
"desc": "Pedorthist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Schusters Diabetic Shoes & Medical Supplies",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Schusters Diabetic Shoes & Medical Supplies",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Berlin, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.