Provider Demographics
NPI:1497852412
Name:FASH-N-FIT SHOES INC
Entity Type:Organization
Organization Name:FASH-N-FIT SHOES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:MALKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-220-1800
Mailing Address - Street 1:1 RUTH ST
Mailing Address - Street 2:
Mailing Address - City:E BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-1415
Mailing Address - Country:US
Mailing Address - Phone:732-220-1800
Mailing Address - Fax:732-220-1971
Practice Address - Street 1:1 RUTH ST
Practice Address - Street 2:
Practice Address - City:E BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-1415
Practice Address - Country:US
Practice Address - Phone:732-220-1800
Practice Address - Fax:732-220-1971
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ=========OtherTAX ID NUMBER
NJ1129040001Medicare ID - Type UnspecifiedMEDICARE