Provider Demographics
NPI:1285819540
Name:FPJ MANAGEMENT INC.
Entity Type:Organization
Organization Name:FPJ MANAGEMENT INC.
Other - Org Name:COMFORT RIDE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:A
Authorized Official - Last Name:FERRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-335-1524
Mailing Address - Street 1:1 HAWKINS AVE
Mailing Address - Street 2:
Mailing Address - City:RONKONKOMA
Mailing Address - State:NY
Mailing Address - Zip Code:11779-5832
Mailing Address - Country:US
Mailing Address - Phone:631-696-7021
Mailing Address - Fax:631-696-7016
Practice Address - Street 1:1 HAWKINS AVE
Practice Address - Street 2:
Practice Address - City:RONKONKOMA
Practice Address - State:NY
Practice Address - Zip Code:11779-5832
Practice Address - Country:US
Practice Address - Phone:631-696-7021
Practice Address - Fax:631-696-7016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-07
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02591477Medicaid