Jay Ann Shop Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

JAY ANN SHOP INC

Doing business as

Jay Ann Intimates

Practice address

1954 County Line Rd
Huntingdon Valley, PA 19006-1738

Phone

(215) 942-0120

Fax

(215) 942-0130

NPI assigned

Nov 22, 2006

Organization subpart

Yes

Parent organization

JAY ANN SHOP, INC.As reported in NPPES

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

Authorized official

Name

Ms. Farrell Friedenberg, CMF

Title

President

Phone

(215) 942-0120

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Jay Ann Intimates Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Jay Ann Shop, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Chalfont, PA
  • NPI 1225987282

  1456479518

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Part of

Jay Ann Shop Inc

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Jay Ann Shop, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Huntingdon Valley, PA
  • NPI 1174713523
  NPPES parent name

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771286400000",
    "number": "1568537769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1954 COUNTY LINE RD",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190061738",
            "telephone_number": "215-942-0120",
            "fax_number": "215-942-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1954 COUNTY LINE RD",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190061738",
            "telephone_number": "215-942-0120",
            "fax_number": "215-942-0130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Tillman Dr",
            "address_purpose": "LOCATION",
            "city": "Bensalem",
            "state": "PA",
            "postal_code": "190202071",
            "country_code": "US",
            "telephone_number": "215-942-0120",
            "fax_number": "215-942-0130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Fox Chase Cancer Center",
            "address_2": "333 Cottman Avenue",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "19111",
            "country_code": "US",
            "telephone_number": "215-942-0120",
            "fax_number": "215-942-0130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Robert Wood Johnson",
            "address_2": "30 Rehill Avenue",
            "address_purpose": "LOCATION",
            "city": "Somerville",
            "state": "NJ",
            "postal_code": "088762500",
            "country_code": "US",
            "telephone_number": "908-927-8779",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Horizon Cir Ste 101",
            "address_purpose": "LOCATION",
            "city": "Chalfont",
            "state": "PA",
            "postal_code": "189143971",
            "country_code": "US",
            "telephone_number": "215-942-0120",
            "fax_number": "267-966-2921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Perelman Center for Adv. Medicine - The Cancer Boutique",
            "address_2": "3400 Civic Center Boulevard",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "19104",
            "country_code": "US",
            "telephone_number": "215-942-0120",
            "fax_number": "215-942-0130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "36 Chestnut Rd",
            "address_purpose": "LOCATION",
            "city": "Paoli",
            "state": "PA",
            "postal_code": "193011565",
            "country_code": "US",
            "telephone_number": "215-942-0120",
            "fax_number": "215-942-0130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "45 Second Street Pike Ste 300",
            "address_purpose": "LOCATION",
            "city": "Southampton",
            "state": "PA",
            "postal_code": "189663827",
            "country_code": "US",
            "telephone_number": "215-942-0120",
            "fax_number": "215-942-0130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JAY ANN SHOP INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JAY ANN SHOP, INC.",
        "enumeration_date": "2006-11-22",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A",
        "authorized_official_last_name": "FRIEDENBERG",
        "authorized_official_first_name": "FARRELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-942-0120",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CMF"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthotic Fitter",
            "state": "PA",
            "license": "6000004961",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE KEYSTONE",
            "identifier": "0002059000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022507020001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "287288PA",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jay Ann Intimates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mario Ismaili, PHARMD
• John Martin Ivers, MSW
• Stephen Jackson, CRS, CPS
• Regina Mary Jacobs
• Barbara Jacobson, LCSW
• Jay Ann Shop, Inc.
• JL Pain Management Assoc, LLC
• Indira Sharleen Johnson Howe, CHAPLAIN
• Joint Preservation Center, PLLC
• Beena Vakanippuzha Joseph, PMHNP-BC

• Durable Medical Equipment & Medical Supplies in Huntingdon Valley, PA
• Providers in Huntingdon Valley, PA by specialty
• Durable Medical Equipment & Medical Supplies in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.