WONDERFUL SHOES INC. (NPI# 1558519389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558519389 |
Entity Type | Organization |
Organization Name | WONDERFUL SHOES INC. |
Other Organization Name | SHOE VILLAGE |
Practice Address |
4532 162nd St Flushing NY 11358-3158 |
Practice Telephone | 7185393400 |
Enumeration Date | 2008-09-04 |
Last Update Date | 2008-09-04 |
Authorized Official Name | MR. PETER SONG (PRESIDENT) |
Authorized Official Telephone | 7185393400 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
Other Name | Type Code |
---|---|
Shoe Village | Doing Business As Name - Organization |
Street Address |
4532 162ND ST |
City | FLUSHING |
State | NY |
Zip Code | 11358-3158 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508485269 | Jeong Seo | Acupuncturist | 163-26 Northern Blvd, Flushing, Flushing, NY 11358 | 2020-04-13 |
1447886510 | Leemaster Corp | Durable Medical Equipment & Medical Supplies | 163-15 Northern Blvd., Unit 2, Flushing, NY 11358 | 2020-03-20 |
1912541517 | Myeong R. Choi Acupuncture P.C. | Acupuncturist | 164-10 Crocheron Avenue, Flushing, NY 11358 | 2019-11-06 |
1417512203 | Jaekwan Lee | Physical Therapist | 4362 162nd Street, 2nd Floor, Flushing, NY 11358 | 2019-05-07 |
1841786324 | Sunshine Rehab Pt PC | Physical Therapist | 19840 32nd Ave Apt B2, Flushing, NY 11358 | 2018-07-08 |
1720575756 | Function Integrate Physical Therapy, P.C. | Clinic/Center | 42-10 164th Street, Flushing, NY 11358 | 2018-04-16 |
1275055402 | Alexandra Sara Miller | Registered Nurse | 43-43 166th Street, Flushing, NY 11358 | 2017-07-10 |
1245750520 | Seongrak Kang | Physical Therapist | 42-12 164th St 1fl, Flushing, NY 11358 | 2017-06-27 |
1306366851 | Margaret O'neill | Registered Nurse | 17209 Crocheron Ave C4, Flushing, NY 11358 | 2017-06-26 |
1063957280 | Joel Choi | Specialist/Technologist | 3636 166th St, 2nd Fl, Flushing, NY 11358 | 2016-12-24 |
Find all providers in zip 11358 |
Taxonomy Code | 335E00000X |
Grouping | Suppliers |
Classification | Prosthetic/Orthotic Supplier |
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215387204 | Eschen Prosthetic & Orthotic Laboratories, Inc. | Prosthetic/Orthotic Supplier | 32-03 Francis Lewis Blvd, Flushing, NY 11358-1922 | 2016-06-21 |
1477984128 | Dawn Vanalstine | Prosthetic/Orthotic Supplier | 6104 W Pierson Rd, Flushing, MI 48433-3129 | 2013-12-06 |
1386660751 | Shoe Pro Corp | Prosthetic/Orthotic Supplier | 14431 41st Ave, Suite # L6, Flushing, NY 11355-1459 | 2006-07-15 |
1457681652 | Complete Orthopedic Services Inc | Prosthetic/Orthotic Supplier | 5713 Main St, Flushing, NY 11355-5332 | 2010-01-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538796545 | Ffh Concepts LLC | Prosthetic/Orthotic Supplier | 545 Saw Mill River Rd Ste 1a, Ardsley, NY 10502-2159 | 2020-03-27 |
1417584046 | Alta Vista Inc. | Prosthetic/Orthotic Supplier | 420 Madison Ave Fl 2, New York, NY 10017-1195 | 2020-03-24 |
1114554904 | Britica Management Group Inc | Prosthetic/Orthotic Supplier | 40 Gardenville Pkwy Ste 200, West Seneca, NY 14224-1399 | 2020-03-24 |
1992332837 | Genesis II Hair Replacement Studio | Prosthetic/Orthotic Supplier | 405 E Taft Rd, North Syracuse, NY 13212-3734 | 2020-03-23 |
1548895113 | East Coast Orthotic & Prosthetic Corp. | Prosthetic/Orthotic Supplier | 326 2nd Ave, New York, NY 10003-2732 | 2020-03-04 |
1154964955 | Northern Orthopedic Laboratory Inc. | Prosthetic/Orthotic Supplier | 6604 State Highway 56 Apt 6, Potsdam, NY 13676-3546 | 2019-10-24 |
1285275354 | Chanta Mabry | Prosthetic/Orthotic Supplier | 1787 Fulton St, Brooklyn, NY 11233-3029 | 2019-09-30 |
1659921716 | Millenium Medical Products, Inc | Prosthetic/Orthotic Supplier | 204 19 12th Ave, Rockaway Point, NY 11697-1120 | 2019-09-19 |
1700435278 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 200 Old Country Rd Ste 590a, Mineola, NY 11501-4235 | 2019-09-08 |
1265081731 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 1393 Veterans Memorial Hwy Ste 112n, Hauppauge, NY 11788-3066 | 2019-09-08 |
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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.