Healthcare Provider Details

I. General information

NPI: 1174236780
Provider Name (Legal Business Name): THE DRIVE MASTER CO INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2022
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37 DANIEL RD W
FAIRFIELD NJ
07004-2521
US

IV. Provider business mailing address

37 DANIEL RD W
FAIRFIELD NJ
07004-2521
US

V. Phone/Fax

Practice location:
  • Phone: 973-808-9709
  • Fax: 973-808-9713
Mailing address:
  • Phone: 973-808-9709
  • Fax: 973-808-9713

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WV0202X
TaxonomyVehicle Modifications Contractor
License Number
License Number State

VIII. Authorized Official

Name: PETER BARTLETT RUPRECHT
Title or Position: PRESIDENT
Credential:
Phone: 973-808-9709