Wonderful Shoes Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

WONDERFUL SHOES INC.

Doing business as

Shoe Village

Practice address

4532 162ND St
Flushing, NY 11358-3158

Phone

(718) 539-3400

NPI assigned

Sep 4, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Peter Song

Title

President

Phone

(718) 539-3400

Specialties & licenses 1

Addresses

Other names 1

• Shoe Village Doing business as

Locations

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220486400000",
    "number": "1558519389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4532 162ND ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113583158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4532 162ND ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113583158",
            "telephone_number": "718-539-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WONDERFUL SHOES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-04",
        "last_updated": "2008-09-04",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-539-3400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shoe Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wonder Care Pharmacy Inc.
• Wonderful Acupuncture P.C.
• Wonderful Adult Day Care Center
• Wonderful Family Social Daycare Inc.
• Wonderful Senior Program Inc.
• Joyce Tak Yan Wong Wu
• Ada Wong
• Andy Wong
• Anthony Wong, RPA-C
• Candance Wong, DO

• Prosthetic/Orthotic Supplier in Flushing, NY
• Providers in Flushing, 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 Sep 4, 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.