MEDICARE: JAMES CASE ENTERPRISES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335E00000X	Prosthetic/Orthotic Supplier
2	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023109782
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMES CASE ENTERPRISES, INC.

Provider Business Mailing Address
First Line	:	648 MAPLE AVE
Second Line	:
City	:	WYCKOFF
State	:	NJ
Zip	:	07481-1412
Country	:	US
Telephone Number	:	201-848-5035
Fax Number	:	201-848-5037

Provider Business Practice Location Address
First Line	:	648 MAPLE AVE
Second Line	:
City	:	WYCKOFF
State	:	NJ
Zip	:	07481-1412
Country	:	US
Telephone Number	:	201-848-5035
Fax Number	:	201-848-5037

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. JAMES E. CASE
Credential	:	C.P.O.
Telephone Number	:	201-891-6876

Provider Enumeration Date	:	09/27/2006
Last Update Date	:	08/16/2010

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