Healthcare Provider Details

I. General information

NPI: 1255120648
Provider Name (Legal Business Name): S&J IV AND MORE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2025
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

674 11TH AVE
PATERSON NJ
07514-1202
US

IV. Provider business mailing address

674 11TH AVE
PATERSON NJ
07514-1202
US

V. Phone/Fax

Practice location:
  • Phone: 201-800-1515
  • Fax:
Mailing address:
  • Phone: 201-800-1515
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: STALIN VLADIMIR CRUZ
Title or Position: MANAGER
Credential: RN
Phone: 201-800-1515