Healthcare Provider Details

I. General information

NPI: 1225547862
Provider Name (Legal Business Name): COXPHIT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

809 22ND STREET UNIT 506
UNION CITY NJ
07087
US

IV. Provider business mailing address

809 22ND ST APT 506
UNION CITY NJ
07087-9139
US

V. Phone/Fax

Practice location:
  • Phone: 201-655-9105
  • Fax:
Mailing address:
  • Phone: 201-655-9105
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385HR2065X
TaxonomyChild Physical Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: JONATHAN B COX
Title or Position: OWNER
Credential: MBA
Phone: 201-655-9105