Provider Demographics
NPI:1497119770
Name:PRAXIS TECHNOLOGIES, INC.
Entity Type:Organization
Organization Name:PRAXIS TECHNOLOGIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KAYDON
Authorized Official - Middle Name:
Authorized Official - Last Name:STANZIONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-232-9679
Mailing Address - Street 1:288 EGG HARBOR RD
Mailing Address - Street 2:SUITE 9, #121
Mailing Address - City:SEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08080-3131
Mailing Address - Country:US
Mailing Address - Phone:856-232-9679
Mailing Address - Fax:
Practice Address - Street 1:4212 BEACON AVE
Practice Address - Street 2:
Practice Address - City:PENNSAUKEN
Practice Address - State:NJ
Practice Address - Zip Code:08109-1430
Practice Address - Country:US
Practice Address - Phone:856-302-0077
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-12
Last Update Date:2016-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ0400207120343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)