NPIMap

Organization Active NPI

Somerset Hair Loss Center

  • Durable Medical Equipment & Medical Supplies
  • Bayonne, NJ
National Provider Identifier
1629799374
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SOMERSET HAIR LOSS CENTER
Practice address
430 Vet Memorial Boulevard
Suite 5
Bayonne, NJ 07002
Phone
(201) 275-8540
NPI assigned
Sep 9, 2022
Last updated
Sep 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Authorized official

Name
Deedra SmithNPI 1770154338
Title
Owner
Phone
(201) 275-8540

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

430 Vet Memorial Boulevard
Suite 5
Bayonne, NJ 07002

Mailing address

430 Vet Memorial Boulevard
Suite 5
Bayonne, NJ 07002
Phone (201) 275-8540

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Desktop

National Provider Directory

National Provider Directory
Tax ID family
Somerset Hair Loss Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662681600000",
    "number": "1629799374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 VET MEMORIAL BOULEVARD",
            "address_2": "SUITE 5",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "07002",
            "telephone_number": "201-275-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 VET MEMORIAL BOULEVARD",
            "address_2": "SUITE 5",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "07002",
            "telephone_number": "201-275-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMERSET HAIR LOSS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-09",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-08",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DEEDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-275-8540"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Desktop",
            "affiliation": "N",
            "address_1": "430 Vet Memorial Boulevard",
            "address_2": "Suite 5",
            "city": "Bayonne",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "07002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; 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.