Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jay Ann Shop, Inc

Organization Mastectomy Fitter · NPI 1619222882

Jay Ann Shop, Inc is a Mastectomy Fitter in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2012.

Licensed in
PA
In the registry since
2012
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

333 Cottman Ave Attn: Boo's Boutique-Jay Ann Intimates
Philadelphia, PA 19111-2434
Phone: (215) 728-2627
Fax: (215) 728-2559
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X
Mastectomy Fitter Taxonomy 224900000X · Licence 6000007318 (PA)

Record details

NPI number1619222882
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationJay Ann Shop, Inc
Authorized official Farrell Friedenberg — Owner · (215) 942-0120
Other names Jay Ann Intimates
NPI enumeratedJuly 13, 2012
Last updated in NPPESFebruary 17, 2026
Certification dateFebruary 17, 2026
Mailing address1954 County Line Rd, Huntingdon Valley, PA 19006-1738

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