Crown & Glory LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

CROWN & GLORY LLC

Doing business as

The Mane Treatment

Practice address

209 Clinton PL
Hackensack, NJ 07601-3686

Phone

(201) 487-4100

NPI assigned

Aug 23, 2022

Last updated

Aug 23, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

CROWN & GLORY LLCAs reported in NPPES

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

Authorized official

Name

Ms. Angela Phipps, CHLSNPI 1912495060

Title

Certified Hair Loss Specialist

Phone

(201) 487-4100

Specialties & licenses 1

Addresses

Other names 1

• The Mane Treatment Doing business as

Part of

Crown Glory LLC

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.

• Angela Phipps

  • Prosthetist
  • Paramus, NJ
  • NPI 1912495060
  NPD Authorized official

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1326767500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 CLINTON PL",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076013686",
            "telephone_number": "201-487-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 CLINTON PL",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076013686",
            "telephone_number": "201-487-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN & GLORY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CROWN & GLORY LLC",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-22",
        "status": "A",
        "authorized_official_last_name": "PHIPPS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "CERTIFIED HAIR LOSS SPECIALIST",
        "authorized_official_telephone_number": "201-487-4100",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CHLS"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Mane Treatment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Croonquist, APN
• Alexandra Victoria Crowley, MD, MPH
• Barbara A Crowley, APN-C
• Brianna Crowley
• Kelly Elaine Crowley, APN
• Elizabeth Crum, APRN, C
• Kevin Edmond Crutchfield, MD
• Felicia M Cruz, BSW
• Francine Cruz
• Victoria Cruz, MSW, LSW

• Prosthetic/Orthotic Supplier in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Prosthetic/Orthotic Supplier in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.