Organization Active NPI

Shapiro's Shoes Inc.

  • Durable Medical Equipment & Medical Supplies
  • Camden, NJ
National Provider Identifier
1326227794
Registry record updated Aug 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
CPED1749 Issued in NJ
Legal business name
SHAPIRO'S SHOES INC.
Practice address
217 S Broadway
Camden, NJ 08103-1207
Phone
(856) 541-8989
NPI assigned
Nov 1, 2007
Last updated
Aug 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2010

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

Authorized official

Name
Tammy Ham
Title
Owner
Phone
(856) 541-8989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X CPED1749 NJ Primary

Addresses

Primary practice location

217 S Broadway
Camden, NJ 08103-1207

Mailing address

217 S Broadway
Camden, NJ 08103-1207
Phone (856) 541-8989

Other identifiers 1

IdentifierTypeStateIssuer
0097993MedicaidNJ

National Provider Directory

National Provider Directory

Locations

217 Broadway
Camden, NJ 08103
Phone (856) 541-8989

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281657600000",
    "number": "1326227794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 S BROADWAY",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031207",
            "telephone_number": "856-541-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 S BROADWAY",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031207",
            "telephone_number": "856-541-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAPIRO'S SHOES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-01",
        "last_updated": "2010-08-13",
        "status": "A",
        "authorized_official_last_name": "HAM",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-541-8989"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "CPED1749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0097993",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; 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.