Imperial Shoes

LBN: Imperial Shoe Store Co Inc
Imperial Shoes is an health care organization with primary practice located at 516 West Side Ave , Jersey City NJ 07304-1516. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Imperial Shoe Store Co Inc can be contacted via phone (201) 333-0419, or through Marmora, Joseph Peter via phone (201) 333-0419.

Contact Information

Primary practice address
516 West Side Ave Jersey City NJ 07304-1516
Phone: (201) 333-0419
Fax: (201) 333-8087
Website:
Map and Directions
Authorized official contact:
Name: Marmora, Joseph Peter C PED
Phone: (201) 333-0419

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1619193976
LBN Legal business name Imperial Shoe Store Co Inc
DBA Doing business as Imperial Shoes
Authorized official Marmora, Joseph Peter C PED
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619193976 NPPES
New Jersey MEDICAID 5517702

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