VINE BEAUTY SUPPLY
NPI 1568020311
Prosthetic/Orthotic Supplier in Woodbridge, NJ

Active since June 05, 2019
615 RAHWAY AVE, WOODBRIDGE, NJ 07095(732) 425-5778 Get Directions Write a Review

NPPES record last updated: June 5, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vine Beauty Supply NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VINE BEAUTY SUPPLY (NPI 1568020311) is a healthcare organization registered as a prosthetic/orthotic supplier in Woodbridge, New Jersey and active in the NPI registry since June 2019. The organization maintains 2 additional practice locations and lists Shirley Purnell, President, as its authorized official.

NPPES Registry Identity

NPI1568020311
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameVINE BEAUTY SUPPLY
Location Address615 RAHWAY AVEWoodbridge, NJ 07095-3437
Mailing Address615 Rahway AveWoodbridge, NJ 07095-3437 · (732) 425-5778 · Fax (800) 745-6726
Organization SubpartNo
Authorized OfficialShirley PurnellPresident · (732) 425-5778
Enumeration DateJune 5, 2019
NPI 1568020311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition
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.
615 RAHWAY AVE, Woodbridge, NJ 07095

Secondary Practice Locations 2

Location 1616 Rahway AveWoodbridge, NJ 07095 · Phone (732) 425-5778 · Fax (800) 745-6726
Location 2613 Rahway AveWoodbridge, NJ 07095-3437 · Phone (732) 425-5778 · Fax (800) 744-6726

Other Identifiers 1

Medicaid1922270974NJ

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vine Beauty Supply's NPI number?

The NPI number for Vine Beauty Supply is 1568020311. It was assigned to this organization in the NPPES registry on June 5, 2019.

Where is Vine Beauty Supply located?

Vine Beauty Supply is located at 615 Rahway Ave, Woodbridge, NJ 07095. The listed phone number is (732) 425-5778.

What is Vine Beauty Supply's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Vine Beauty Supply was last updated on June 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.