Active NPI
Frontrunners Inc.
- Orthotist
- New York, NY
National Provider Identifier
1487092995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- Legal business name
- FRONTRUNNERS INC.
- Practice address
- 745 7TH Ave.
Super Runners Shop
New York, NY 10019 - Phone
- (212) 398-2449
- Fax
- (212) 398-2467
- NPI assigned
- Jun 6, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert J. Shay III
- Title
- Owner / Ceo
- Phone
- (435) 655-8110
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | Primary |
Addresses
Primary practice location
745 7TH Ave.
Super Runners Shop
New York, NY 10019
Mailing address
2600 Wilshire Blvd
Santa Monica, CA 90403-4623
Phone (310) 315-1077
Other names 1
- Super Runners Shop
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370476800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1370476800000",
"number": "1487092995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 WILSHIRE BLVD",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904034623",
"telephone_number": "310-315-1077",
"fax_number": "310-315-1022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "745 7TH AVE.",
"address_2": "SUPER RUNNERS SHOP",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10019",
"telephone_number": "212-398-2449",
"fax_number": "212-398-2467"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRONTRUNNERS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-06",
"last_updated": "2013-06-06",
"status": "A",
"authorized_official_last_name": "SHAY",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "OWNER / CEO",
"authorized_official_telephone_number": "435-655-8110",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "III"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthotist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Super Runners Shop",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.