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

333 Cottman Ave
Attn: Boo'S Boutique-Jay Ann Intimates
Philadelphia, PA 19111-2434

Phone

(215) 728-2627

Fax

(215) 728-2559

NPI assigned

Jul 13, 2012

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

Farrell Friedenberg

Title

Owner

Phone

(215) 942-0120

Specialties & licenses 2

Addresses

Other names 1

• Jay Ann Intimates Doing business as

Part of

Jay Ann Shop Inc

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": "1342137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771286400000",
    "number": "1619222882",
    "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": "333 COTTMAN AVE",
            "address_2": "ATTN: BOO'S BOUTIQUE-JAY ANN INTIMATES",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191112434",
            "telephone_number": "215-728-2627",
            "fax_number": "215-728-2559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY ANN SHOP, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JAY ANN SHOP, INC.",
        "enumeration_date": "2012-07-13",
        "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": "OWNER",
        "authorized_official_telephone_number": "215-942-0120"
    },
    "taxonomies": [
        {
            "code": "224900000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Mastectomy Fitter",
            "state": "PA",
            "license": "6000007318",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jay Ann Intimates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elhaam Jawadi, MD
• Salimatou Jawara, PHARMD
• Elena Marie Jaworski, BSN, RN, IBCLC
• Mark Peter Jaworski, M.D.
• Michael Jaworski, M.D.
• Anupama Jayachandran
• Jaithra Jayakrishnan
• Vivek Jayaschandran, M.D.
• Mikaela Jayashekaramurthy, M. D.
• Arundathi Jayatilleke, MD

• Durable Medical Equipment & Medical Supplies in Philadelphia, PA
• Providers in Philadelphia, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.