The Wig Therapist

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

THE WIG THERAPIST

Practice address

508 W 5TH Ave
Roselle, NJ 07203-2330

Phone

(908) 793-5565

NPI assigned

Mar 29, 2022

Organization subpart

No

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

Authorized official

Name

Jamila JohnsonNPI 1871165225

Title

Owner.CPS

Phone

(908) 793-8556

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jamila Johnson

  • Prosthetics Case Management
  • Roselle, NJ
  • NPI 1871165225
  NPD Authorized official

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648512000000",
    "number": "1639819618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 W 5TH AVE",
            "city": "ROSELLE",
            "state": "NJ",
            "postal_code": "072032330",
            "telephone_number": "908-793-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 W 5TH AVE",
            "city": "ROSELLE",
            "state": "NJ",
            "postal_code": "072032330",
            "telephone_number": "908-793-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WIG THERAPIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-29",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JAMILA",
        "authorized_official_title_or_position": "OWNER.CPS",
        "authorized_official_telephone_number": "908-793-8556"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Roselle, NJ
• Providers in Roselle, NJ by specialty
• Prosthetic/Orthotic Supplier in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.