MS. CATHLEEN T. WALRAVEN


Address: 33 Broadway, Lady K Lingerie, Denville, NJ 07834-2705
Phone: 9736271836

MS. CATHLEEN T. WALRAVEN (NPI# 1164549176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164549176
Entity Type Individual
Full Name MS. CATHLEEN T. WALRAVEN
Practice Address 33 Broadway
Lady K Lingerie
Denville
NJ 07834-2705
Practice Telephone 9736271836
Practice Fax Number 9736277105
Mailing Telephone 9736271836
Mailing Fax Number 9736277105
Enumeration Date 2007-03-23
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225000000X Orthotic Fitter Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
BOC C17789 01
CERTIFICATION # FOR ABC CFM00259 01

Office Location

Street Address 33 BROADWAY
LADY K LINGERIE
City DENVILLE
State NJ
Zip Code 07834-2705

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932382769 Lady K Lingerie Inc. Prosthetic/Orthotic Supplier 33 Broadway, Denville, NJ 07834-2705 2007-12-16

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NPI Name Taxonomy Address Enumeration
1891304622 Rosemarie Proven-fahy Social Worker 3175 Rt. 10 Building C, Suite 700, Denville, NJ 07834 2020-07-28
1568083327 Anand Jetti Student in an Organized Health Care Education/Training Program Prime Healthcare Consortium At St. Mary's General Hospi, 25 Pocono Road, Denville, NJ 07834 2020-05-04
1265088892 Absolute Awakenings Treatment Center LLC Clinic/Center 3000 Route 10 West, Denville, NJ 07834 2019-08-09
1326607243 Recovery Zone Solutions, LLC Clinic/Center 124 East Main Street, Ste#109, Denville, NJ 07834 2019-06-13
1477022770 Green Leaf Dentistry, LLC Dentist 3155 Route 10, Suite 201, Denville, NJ 07834 2018-11-15
1366955528 Megan D Lukany Social Worker 4 2nd Ave Ste 208-b, Denville, NJ 07834 2017-11-09
1235680430 Jennifer Jeanty Nurse Practitioner 280 W Main St Fl 2, Denville, NJ 07834 2016-10-22
1689129942 Alejandro Castano Dentist 16 Pocono Rd Ste 213, Denville, NJ 07834 2016-08-16
1265830830 Denville Physical Therapy, LLC Physical Therapist 3155 Rte 10 E, Suite 112, Denville, NJ 07834 2014-12-15
1538565577 Michael T. Cocuzza Counselor 76 Broadway Ste 200h, Denville, NJ 07834 2014-11-18
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Taxonomy Information

Taxonomy Code 225000000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Orthotic Fitter

Taxonomy Definition

An individual trained in the management of fitting prefabricated orthoses.
Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1639718422 Peoplecare Inc Orthotic Fitter 220 Davidson Ave Ste 3d, Somerset, NJ 08873-4149 2019-12-27
1679008676 Beneficial Medical Supply Orthotic Fitter 50 Us Highway 9 Ste 108, Grosso Office Park, Morganville, NJ 07751-1558 2017-04-27
1679010680 Frank Grigoli Orthotic Fitter 8 Mineral Spring Rd, Millstone Township, NJ 08510-8754 2017-01-28
1689078313 Eder Charles Orthotic Fitter 56 Clinton Pl, Newark, NJ 07108-1219 2014-10-09
1124437975 Valerie Pagan Orthotic Fitter 154 Union Ave Apt 23, Rutherford, NJ 07070 2014-08-06
1710398706 Damiano Mazza Orthotic Fitter 42 Fencsak Ave, Elmwood Park, NJ 07407-1243 2014-05-13
1396909784 Lashes By Liz Dba Winks Hair & Lash Studio Orthotic Fitter 30 Monmouth St, Red Bank, NJ 07701 2008-07-15
1922293000 Pomac Orthotic Fitter 365 C New Albany Rd., Moorestown, NJ 08057 2007-09-11
1942423728 Brian J. Mulcahy Orthotic Fitter 573 Belleville Ave, Belleville, NJ 07109-1307 2007-04-10
1235277336 Delta Orthopedic Lab., Inc. Orthotic Fitter 1010 Summit Ave, Jersey City, NJ 07307-3519 2007-02-01
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Competitor

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City DENVILLE
Zip Code 07834

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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