Provider Demographics
NPI:1720490584
Name:J AND J MEDICAL SERVICES, INC
Entity Type:Organization
Organization Name:J AND J MEDICAL SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:MOHAMED
Authorized Official - Last Name:KAIKAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-518-2638
Mailing Address - Street 1:5020 SUNNYSIDE AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-2307
Mailing Address - Country:US
Mailing Address - Phone:240-297-9208
Mailing Address - Fax:240-297-9356
Practice Address - Street 1:5020 SUNNYSIDE AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:BELTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20705-2307
Practice Address - Country:US
Practice Address - Phone:240-297-9208
Practice Address - Fax:240-297-9356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-28
Last Update Date:2014-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR3539251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health