Healthcare Provider Details

I. General information

NPI: 1326902958
Provider Name (Legal Business Name): MATHES TRANSPORT CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 KINDERKAMACK RD UNIT 115
HACKENSACK NJ
07601-4864
US

IV. Provider business mailing address

2 KINDERKAMACK RD UNIT 115
HACKENSACK NJ
07601-4864
US

V. Phone/Fax

Practice location:
  • Phone: 239-446-1679
  • Fax:
Mailing address:
  • Phone: 239-446-1679
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: JAMES MATHES
Title or Position: CEO
Credential:
Phone: 239-446-1679