Organization Active NPI

Lavender Wisp Lingerie Co

  • Prosthetic/Orthotic Supplier
  • Newark, NJ
National Provider Identifier
1942475181
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
LAVENDER WISP LINGERIE CO
Practice address
78 Richmond Street
Newark, NJ 07103
Phone
(973) 623-8665
Fax
(973) 623-8665
NPI assigned
Apr 29, 2008
Last updated
Jul 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
Patricia M. Jones
Title
Partner Owner
Phone
(973) 623-8161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X NU Primary

Addresses

Primary practice location

78 Richmond Street
Newark, NJ 07103

Mailing address

78 Richmond Street
Newark, NJ 07103
Phone (973) 623-8665

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1942475181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 RICHMOND STREET",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07103",
            "telephone_number": "973-623-8665",
            "fax_number": "973-623-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 RICHMOND STREET",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07103",
            "telephone_number": "973-623-8665",
            "fax_number": "973-623-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVENDER WISP LINGERIE CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PARTNER OWNER",
        "authorized_official_telephone_number": "973-623-8161"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.