Provider Demographics
NPI:1285009829
Name:JIFF XPRESS LLC.
Entity Type:Organization
Organization Name:JIFF XPRESS LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FELIX
Authorized Official - Middle Name:MANUEL
Authorized Official - Last Name:ACEVEDO
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:201-580-9197
Mailing Address - Street 1:438 STUYVESANT AVE
Mailing Address - Street 2:
Mailing Address - City:LYNDHURST
Mailing Address - State:NJ
Mailing Address - Zip Code:07071-2347
Mailing Address - Country:US
Mailing Address - Phone:201-580-9197
Mailing Address - Fax:
Practice Address - Street 1:438 STUYVESANT AVE
Practice Address - Street 2:
Practice Address - City:LYNDHURST
Practice Address - State:NJ
Practice Address - Zip Code:07071-2347
Practice Address - Country:US
Practice Address - Phone:201-580-9197
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-08
Last Update Date:2015-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJA12242597401662343900000X, 347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle