Re Nu Shoe Repair Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

RE NU SHOE REPAIR INC

Practice address

366 Broadway
Monticello, NY 12701

Phone

(845) 791-4201

Fax

(845) 791-4201

NPI assigned

Jul 17, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Ann Bellantoni

Title

Owner

Phone

(845) 791-4201

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1790949899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 BROADWAY",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "12701",
            "telephone_number": "845-791-4201",
            "fax_number": "845-791-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 BROADWAY",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "12701",
            "telephone_number": "845-791-4201",
            "fax_number": "845-791-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RE NU SHOE REPAIR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-17",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "BELLANTONI",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-791-4201",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kasandra Quednau
• Edythe Raiten, CSWR, RPT
• Stacey Michelle Ramirez
• Maria Cecilia Ramos, COTA
• Kaitlin Giselle Rau, MS, OTR
• William G Redish, PTA
• Megan Regueiro, M.S., CF-SLP
• Tara Lynn Reiley, C.O.T.A
• Mara Resnick
• Reversing Falls LLC

• Customized Equipment (DME) in Monticello, NY
• Providers in Monticello, NY by specialty
• Customized Equipment (DME) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.