Provider Demographics
NPI:1851966279
Name:NEW JERSEI AND COMPANY LLC
Entity Type:Organization
Organization Name:NEW JERSEI AND COMPANY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOME MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JAMIYA
Authorized Official - Middle Name:SHAUDE
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-943-9087
Mailing Address - Street 1:PO BOX 6296
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77491-6296
Mailing Address - Country:US
Mailing Address - Phone:281-870-4220
Mailing Address - Fax:281-990-6815
Practice Address - Street 1:21077 KINGSLAND BLVD APT 5317
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-3265
Practice Address - Country:US
Practice Address - Phone:832-943-9087
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-26
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier