Provider Demographics
NPI:1578933602
Name:TVJGROUP LLC
Entity Type:Organization
Organization Name:TVJGROUP LLC
Other - Org Name:JOYFUL FEET
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:L
Authorized Official - Last Name:JUETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-933-2226
Mailing Address - Street 1:125 2ND ST
Mailing Address - Street 2:
Mailing Address - City:KEYPORT
Mailing Address - State:NJ
Mailing Address - Zip Code:07735-1809
Mailing Address - Country:US
Mailing Address - Phone:877-933-2226
Mailing Address - Fax:877-933-9669
Practice Address - Street 1:125 2ND ST
Practice Address - Street 2:
Practice Address - City:KEYPORT
Practice Address - State:NJ
Practice Address - Zip Code:07735-1809
Practice Address - Country:US
Practice Address - Phone:877-933-2226
Practice Address - Fax:877-933-9669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ332B00000X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies