Provider Demographics
NPI:1154112266
Name:CERTIFIED CRAFTSMEN INC
Entity type:Organization
Organization Name:CERTIFIED CRAFTSMEN INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WAYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:CAPPADANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-736-0660
Mailing Address - Street 1:243 RIVERS EDGE LN
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-1184
Mailing Address - Country:US
Mailing Address - Phone:732-736-0660
Mailing Address - Fax:
Practice Address - Street 1:243 RIVERS EDGE LN
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-1184
Practice Address - Country:US
Practice Address - Phone:732-736-0660
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-16
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty