Healthcare Provider Details

I. General information

NPI: 1114741188
Provider Name (Legal Business Name): ENJOY JERSEY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2024
Last Update Date: 11/14/2024
Certification Date: 11/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 BAYONNE CROSSING WAY
BAYONNE NJ
07002-5304
US

IV. Provider business mailing address

305 BAYONNE CROSSING WAY
BAYONNE NJ
07002-5304
US

V. Phone/Fax

Practice location:
  • Phone: 201-778-2020
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: ASHISHKUMAR PATEL
Title or Position: OWNER
Credential: DPT
Phone: 201-888-5449