Organization Active NPI

Shilpa S. Dewoolkar

  • Customized Equipment (DME)
  • Hackensack, NJ
National Provider Identifier
1477762722
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
46TR00069000 Issued in NJ
Legal business name
SHILPA S. DEWOOLKAR
Practice address
155 Polifly Rd Ste 104
Hackensack, NJ 07601-1749
Phone
(201) 343-3644
Fax
(201) 343-1770
NPI assigned
May 22, 2007
Last updated
Jan 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Authorized official

Name
Mrs. Shilpa S Dewoolkar, OTR,CHTNPI 1083720460
Title
Sole Proprietor
Phone
(201) 343-3644

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 46TR00069000 NJ
Customized Equipment (DME) 332BC3200X 46TR00069000 NJ Primary

Addresses

Primary practice location

155 Polifly Rd Ste 104
Hackensack, NJ 07601-1749

Mailing address

155 Polifly Rd Ste 104
Hackensack, NJ 07601-1749
Phone (201) 343-3644

National Provider Directory

National Provider Directory

Locations

155 Polifly Rd
Ste 104
Hackensack, NJ 07601
Phone (201) 343-3644

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": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1477762722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 POLIFLY RD STE 104",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011749",
            "telephone_number": "201-343-3644",
            "fax_number": "201-343-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 POLIFLY RD STE 104",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011749",
            "telephone_number": "201-343-3644",
            "fax_number": "201-343-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHILPA S. DEWOOLKAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "DEWOOLKAR",
        "authorized_official_first_name": "SHILPA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "201-343-3644",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR,CHT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "46TR00069000",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NJ",
            "license": "46TR00069000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

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