Organization
JAY ANN SHOP INC
Active
Parent organization
JAY ANN SHOP, INC.
Other names
Jay Ann Intimates
Organization subpart
Yes
Provider details
NPI number
Legal business name
JAY ANN SHOP, INC.
Authorized official
MS. FARRELL FRIEDENBERG CMF (PRESIDENT)
(215) 942-0120
Entity
Organization
Contact information
Practice address
1954 COUNTY LINE RD, HUNTINGDON VALLEY, PA 19006-1738
(215) 942-0120
(215) 942-0130
Mailing address
1954 COUNTY LINE RD, HUNTINGDON VALLEY, PA 19006-1738
(215) 942-0120
(215) 942-0130
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
6000004961
PA
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002059000
PERSONAL CHOICE KEYSTONE
—
05
—
1022507020001
—
PA
01
—
287288PA
BLUE CROSS BLUE SHIELD
—
Enumeration date
11/22/2006
Last updated
02/17/2026
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