SHILPA S. DEWOOLKAR NPI 1477762722

NPI Information

NPI: 1477762722
Provider Name: SHILPA S. DEWOOLKAR
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
155 POLIFLY RD STE 104
HACKENSACK, NJ
ZIP 07601
Phone: (201) 343-3644
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SHILPA S. DEWOOLKAR is a customized equipment durable medical equipment medical supplies in Hackensack, NJ. SHILPA S. DEWOOLKAR NPI is 1477762722. The provider is registered as an organization entity type.

The provider's business location address is:

155 POLIFLY RD STE 104
HACKENSACK, NJ
ZIP 07601-749
Phone: (201) 343-3644
Fax: (201) 343-1770

The provider's authorized official is Shilpa S Dewoolkar .
The authorized official title is Sole Proprietor and has the following contact phone number (201) 343-3644.

The enumeration date for this NPI number is 5/22/2007 and was last updated on 1/9/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies		46TR00069000	NEW JERSEY	No
2	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment	46TR00069000	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	038256	MEDICARE PIN	NEW JERSEY
2	4697100001	MEDICARE NSC	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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