Healthcare Provider Details

I. General information

NPI: 1679184238
Provider Name (Legal Business Name): TRONTZ ENTERPRISES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2020
Last Update Date: 10/12/2020
Certification Date: 10/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

258 HANCOCK AVE APT 3
JERSEY CITY NJ
07307-1924
US

IV. Provider business mailing address

258 HANCOCK AVE APT 3
JERSEY CITY NJ
07307-1924
US

V. Phone/Fax

Practice location:
  • Phone: 201-852-7341
  • Fax:
Mailing address:
  • Phone: 201-852-7341
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: MR. MATTHEW IAN TRONTZ
Title or Position: CO-OWNER
Credential:
Phone: 201-852-7341