New Wig Salon

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

NEW WIG SALON

Practice address

378 Ridgefield Rd
Hauppauge, NY 11788-2316

Phone

(631) 553-3987

NPI assigned

Aug 6, 2020

Organization subpart

No

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

Authorized official

Name

Deborah Locicero

Title

Member

Phone

(631) 553-3987

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596672000000",
    "number": "1366052086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "378 RIDGEFIELD RD",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882316",
            "telephone_number": "631-553-3987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "378 RIDGEFIELD RD",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882316",
            "telephone_number": "631-553-3987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW WIG SALON",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A",
        "authorized_official_last_name": "LOCICERO",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "631-553-3987"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@thenewwigsalon.com",
            "affiliation": "N",
            "endpointDescription": "private email",
            "address_1": "378 Ridgefield Rd",
            "city": "Hauppauge",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117882316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Hauppauge, NY
• Providers in Hauppauge, NY by specialty
• Prosthetic/Orthotic Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.