Organization Active NPI

Embrace Mastectomy Boutique LLC

  • Mastectomy Fitter
  • Howell, NJ
National Provider Identifier
1992623490
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mastectomy FitterTaxonomy code 224900000X
Legal business name
EMBRACE MASTECTOMY BOUTIQUE LLC
Practice address
10 Weymouth Dr
Howell, NJ 07731-1574
Phone
(732) 832-6906
NPI assigned
Jul 9, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Authorized official

Name
Henny HeislerNPI 1811815301
Title
Owner
Phone
(732) 832-6906

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mastectomy FitterGroup: 193200000X MULTI-SPECIALTY GROUP 224900000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

10 Weymouth Dr
Howell, NJ 07731-1574

Mailing address

10 Weymouth Dr
Howell, NJ 07731-1574
Phone (732) 832-6906

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1783555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1992623490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WEYMOUTH DR",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077311574",
            "telephone_number": "732-832-6906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WEYMOUTH DR",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077311574",
            "telephone_number": "732-832-6906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRACE MASTECTOMY BOUTIQUE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-09",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-10",
        "status": "A",
        "authorized_official_last_name": "HEISLER",
        "authorized_official_first_name": "HENNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-832-6906"
    },
    "taxonomies": [
        {
            "code": "224900000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Mastectomy Fitter",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.