Ajb Associates

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

CPED2316 Issued in PA

Legal business name

AJB ASSOCIATES

Doing business as

Michael B Shoes

Practice address

721 Philadelphia St
Indiana, PA 15701-3905

Phone

(724) 465-9151

Fax

(724) 349-0524

NPI assigned

Aug 17, 2009

Organization subpart

No

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

Authorized official

Name

Michael Boiano, CPED

Title

General Manager

Phone

(724) 465-9151

Specialties & licenses 1

Addresses

Other names 1

• Michael B Shoes Doing business as

Locations

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

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607990400000",
    "number": "1437381936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 EVERGREEN DR",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013233",
            "telephone_number": "724-349-0523",
            "fax_number": "724-349-0524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 PHILADELPHIA ST",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013905",
            "telephone_number": "724-465-9151",
            "fax_number": "724-349-0524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "699 Philadelphia St",
            "address_purpose": "LOCATION",
            "city": "Indiana",
            "state": "PA",
            "postal_code": "157013929",
            "country_code": "US",
            "telephone_number": "724-465-9151",
            "fax_number": "724-349-0524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AJB ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-17",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A",
        "authorized_official_last_name": "BOIANO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "724-465-9151",
        "authorized_official_credential": "CPED"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "PA",
            "license": "CPED2316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael B Shoes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Customized Equipment (DME) in Indiana, PA
• Providers in Indiana, PA by specialty
• Customized Equipment (DME) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.