Provider Demographics
NPI:1750702080
Name:SHIFT TRANSITION LLC
Entity type:Organization
Organization Name:SHIFT TRANSITION LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PROGRAM DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PELTZ
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:201-562-8108
Mailing Address - Street 1:66 N RTE 17 STE 10
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-2742
Mailing Address - Country:US
Mailing Address - Phone:201-275-0602
Mailing Address - Fax:201-275-0602
Practice Address - Street 1:66 N RTE 17 STE 10
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-2742
Practice Address - Country:US
Practice Address - Phone:201-275-0602
Practice Address - Fax:201-275-0602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage
No251B00000XAgenciesCase Management