Provider Demographics
NPI:1417546276
Name:J & J CAR SERVICE
Entity Type:Organization
Organization Name:J & J CAR SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:RAFAEL
Authorized Official - Last Name:SANTANA
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:845-269-8601
Mailing Address - Street 1:144 COOLIDGE ST
Mailing Address - Street 2:
Mailing Address - City:HAVERSTRAW
Mailing Address - State:NY
Mailing Address - Zip Code:10927-1033
Mailing Address - Country:US
Mailing Address - Phone:845-269-8601
Mailing Address - Fax:
Practice Address - Street 1:144 COOLIDGE ST
Practice Address - Street 2:
Practice Address - City:HAVERSTRAW
Practice Address - State:NY
Practice Address - Zip Code:10927-1033
Practice Address - Country:US
Practice Address - Phone:845-269-8601
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-15
Last Update Date:2021-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)