Provider Demographics
NPI:1023109782
Name:JAMES CASE ENTERPRISES, INC.
Entity type:Organization
Organization Name:JAMES CASE ENTERPRISES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:E
Authorized Official - Last Name:CASE
Authorized Official - Suffix:
Authorized Official - Credentials:CPO
Authorized Official - Phone:201-891-6876
Mailing Address - Street 1:648 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:WYCKOFF
Mailing Address - State:NJ
Mailing Address - Zip Code:07481-1412
Mailing Address - Country:US
Mailing Address - Phone:201-848-5035
Mailing Address - Fax:201-848-5037
Practice Address - Street 1:648 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:WYCKOFF
Practice Address - State:NJ
Practice Address - Zip Code:07481-1412
Practice Address - Country:US
Practice Address - Phone:201-848-5035
Practice Address - Fax:201-848-5037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2010-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01582330Medicaid
NJ7120702Medicaid
NY02103103Medicaid
0204570001Medicare ID - Type Unspecified