The Spa at Randolph LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

32WD02245000 Issued in NJ

Legal business name

THE SPA AT RANDOLPH LLC

Practice address

10 W Hanover Ave
Suite 106
Randolph, NJ 07869-4221

Phone

(973) 895-7797

Fax

(973) 895-5507

NPI assigned

Nov 9, 2008

Last updated

Nov 9, 2008By 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

Ms. Alison McHale

Title

Owner

Phone

(973) 895-5224

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1226188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226188800000",
    "number": "1356595946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W HANOVER AVE",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078694221",
            "telephone_number": "973-895-7797",
            "fax_number": "973-895-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W HANOVER AVE",
            "address_2": "SUITE 106",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078694221",
            "telephone_number": "973-895-7797",
            "fax_number": "973-895-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SPA AT RANDOLPH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-09",
        "last_updated": "2008-11-09",
        "status": "A",
        "authorized_official_last_name": "MCHALE",
        "authorized_official_first_name": "ALISON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-895-5224",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "32WD02245000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tri-State Behavioral

• Durable Medical Equipment & Medical Supplies in Randolph, NJ
• Providers in Randolph, 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 Nov 9, 2008; 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.