SW Wong LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SW WONG LLC

Doing business as

SHOESTERS SHOES

Practice address

69 Clementon Rd
Suite 1
Berlin, NJ 08009-1369

Phone

(856) 809-2931

Fax

(856) 809-2183

NPI assigned

Sep 2, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Sun Wai Wong, NA

Title

Sole MBR

Phone

(856) 829-2931

Specialties & licenses 1

Addresses

Other names 1

• SHOESTERS SHOES Doing business as

Locations

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409616000000",
    "number": "1851791479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 CLEMENTON RD",
            "address_2": "SUITE 1",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "080091369",
            "telephone_number": "856-809-2931",
            "fax_number": "856-809-2183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 CLEMENTON RD",
            "address_2": "SUITE 1",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "080091369",
            "telephone_number": "856-809-2931",
            "fax_number": "856-809-2183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SW WONG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-02",
        "last_updated": "2014-09-02",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "SUN",
        "authorized_official_middle_name": "WAI",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "856-829-2931",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NA"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHOESTERS SHOES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert L Stolber, D.D.S.
• Kevin Charles Story
• Marissa Strader, LCSW
• Eileen Strouse, RN
• Angelic Suarez
• Maurice Swain
• Lydia Swartz
• Erin Swinney
• Denise Switzer
• Allison Teer

• Durable Medical Equipment & Medical Supplies in Berlin, NJ
• Providers in Berlin, 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 Sep 2, 2014; 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.