Wigs by Lillian Lee

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

WIGS BY LILLIAN LEE

Practice address

60 W Church St
Bergenfield, NJ 07621-1628

Phone

(201) 837-6770

NPI assigned

Sep 9, 2018

Organization subpart

No

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

Authorized official

Name

Lillian Lee

Title

Owner

Phone

(201) 837-6770

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1536451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536451200000",
    "number": "1487137196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 W CHURCH ST",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076211628",
            "telephone_number": "201-837-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 W CHURCH ST",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076211628",
            "telephone_number": "201-837-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIGS BY LILLIAN LEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-09",
        "last_updated": "2018-09-09",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "LILLIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-837-6770"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Bergenfield, NJ
• Providers in Bergenfield, NJ by specialty
• Preferred Provider Organization in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2018; 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.