Comfort Shoes and Supplies, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

CFO03082 Issued in NJ

Legal business name

COMFORT SHOES AND SUPPLIES, INC

Practice address

659 Anderson Ave
Cliffside Park, NJ 07010-1927

Phone

(201) 943-0340

Fax

(201) 943-0347

NPI assigned

Feb 9, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Yana Dimitrovich, CFO, CFT

Title

General Manager

Phone

(201) 943-0340

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1801035233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 ANDERSON AVE",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070101927",
            "telephone_number": "201-943-0340",
            "fax_number": "201-943-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "659 ANDERSON AVE",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070101927",
            "telephone_number": "201-943-0340",
            "fax_number": "201-943-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT SHOES AND SUPPLIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-09",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "DIMITROVICH",
        "authorized_official_first_name": "YANA",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "201-943-0340",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CFO, CFT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "CFO03082",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "CFTS0148",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "60085923",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cliffside Park Imaging and Diagnostic Center, LLC
• Cliffside Park Pharmacy LLC
• Cliffside Park Public Schools
• Cliffside Physical Therapy & Chiropractic Center PC
• Sulay Milena Coba, SLP
• Melissa Connor, MA, BCBA
• Maria Antonieta Contreras, OTR/L
• Dara Cowen, PT
• Maria D Cruz, MAPT
• David Fridman LLC

• Durable Medical Equipment & Medical Supplies in Cliffside Park, NJ
• Providers in Cliffside Park, NJ by specialty
• Durable Medical Equipment & Medical Supplies in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; 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.