Individual provider Active NPI

Marci Barron, CERTIFIED ORTHOTIC F

  • Durable Medical Equipment & Medical Supplies
  • Cliffside Park, NJ
National Provider Identifier
1942376801
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
RF001865 Issued in NJ
Practice address
770 Anderson Ave
Suite 18N Have Shoes Will Travel LLC
Cliffside Park, NJ 07010
Phone
(201) 917-3011
Fax
(201) 917-3645
NPI assigned
Nov 24, 2006
Last updated
Nov 4, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X RF001865 NJ Primary

Addresses

Primary practice location

770 Anderson Ave
Suite 18N Have Shoes Will Travel LLC
Cliffside Park, NJ 07010

Mailing address

770 Anderson Ave
Suite 18N Have Shoes Will Travel LLC
Cliffside Park, NJ 07010
Phone (201) 917-3011

Other identifiers 1

IdentifierTypeStateIssuer
0016489MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RF001865NJMDDurable Medical Equipment & Medical Supplies

Practice roles

OrganizationSpecialtyStatusNew patients
Have Shoes Will Travel LLC Durable Medical Equipment & Medical Supplies Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320364800000",
    "number": "1942376801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 ANDERSON AVE",
            "address_2": "SUITE 18N HAVE SHOES WILL TRAVEL LLC",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "07010",
            "telephone_number": "201-917-3011",
            "fax_number": "201-917-3645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 ANDERSON AVE",
            "address_2": "SUITE 18N HAVE SHOES WILL TRAVEL LLC",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "07010",
            "telephone_number": "201-917-3011",
            "fax_number": "201-917-3645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRON",
        "first_name": "MARCI",
        "name_prefix": "Ms.",
        "credential": "CERTIFIED ORTHOTIC F",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-24",
        "last_updated": "2011-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "RF001865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016489",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cliffside Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; 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.