Healthcare Provider Details

I. General information

NPI: 1962328625
Provider Name (Legal Business Name): BENJIS DAD TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

353 MYRTLE AVE
IRVINGTON NJ
07111-2729
US

IV. Provider business mailing address

353 MYRTLE AVE
IRVINGTON NJ
07111-2729
US

V. Phone/Fax

Practice location:
  • Phone: 320-766-1354
  • Fax:
Mailing address:
  • Phone: 320-766-1354
  • 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: HENRY JASPER
Title or Position: CEO
Credential:
Phone: 132-076-6135