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NPI Code Detail

MEDICARE: BENJIS DAD TRANSPORTATION

MEDICARE: BENJIS DAD TRANSPORTATION
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1962328625
Entity Type Code : Organization
Provider Name (Legal Business Name) : BENJIS DAD TRANSPORTATION
Provider Business Mailing Address
First Line : 353 MYRTLE AVE
Second Line :
City : IRVINGTON
State : NJ
Zip : 07111-2729
Country : US
Telephone Number : 320-766-1354
Fax Number :
Provider Business Practice Location Address
First Line : 353 MYRTLE AVE
Second Line :
City : IRVINGTON
State : NJ
Zip : 07111-2729
Country : US
Telephone Number : 320-766-1354
Fax Number :
Authorized Official
Title or Position : CEO
Name : HENRY JASPER
Credential :
Telephone Number : 132-076-6135
Provider Enumeration Date : 06/26/2026
Last Update Date : 06/26/2026

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Directions to “BENJIS DAD TRANSPORTATION ” Practice Location

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