Active NPI
Malkin's Shoes LLC
Doing business as Malkin's Functional Footwear
- Prosthetic/Orthotic Supplier
- E Brunswick, NJ
National Provider Identifier
1952671208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- MALKIN'S SHOES LLC
- Doing business as
- Malkin's Functional Footwear
- Practice address
- 1 Ruth St
E Brunswick, NJ 08816-1415 - Phone
- (732) 220-1800
- Fax
- (732) 220-1971
- NPI assigned
- Jan 4, 2012
- Last updated
- Jan 17, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Howard Malkin
- Title
- Owner
- Phone
- (732) 220-1800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | NJ | Primary |
Addresses
Primary practice location
1 Ruth St
E Brunswick, NJ 08816-1415
Mailing address
1 Ruth St
E Brunswick, NJ 08816-1415
Phone (732) 220-1800
Other names 1
- Malkin's Functional Footwear
National Provider Directory
National Provider DirectoryLocations
1 Ruth St
East Brunswick, NJ 08816
Phone (732) 220-1800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325635200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1358380800000",
"number": "1952671208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 RUTH ST",
"city": "E BRUNSWICK",
"state": "NJ",
"postal_code": "088161415",
"telephone_number": "732-220-1800",
"fax_number": "732-220-1971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 RUTH ST",
"city": "E BRUNSWICK",
"state": "NJ",
"postal_code": "088161415",
"telephone_number": "732-220-1800",
"fax_number": "732-220-1971"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MALKIN'S SHOES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-04",
"last_updated": "2013-01-17",
"status": "A",
"authorized_official_last_name": "MALKIN",
"authorized_official_first_name": "HOWARD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "732-220-1800",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "NJ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Malkin's Functional Footwear",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in E Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.