Healthcare Provider Details

I. General information

NPI: 1023109782
Provider Name (Legal Business Name): JAMES CASE ENTERPRISES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2006
Last Update Date: 08/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

648 MAPLE AVE
WYCKOFF NJ
07481-1412
US

IV. Provider business mailing address

648 MAPLE AVE
WYCKOFF NJ
07481-1412
US

V. Phone/Fax

Practice location:
  • Phone: 201-848-5035
  • Fax: 201-848-5037
Mailing address:
  • Phone: 201-848-5035
  • Fax: 201-848-5037

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MR. JAMES E. CASE
Title or Position: PRESIDENT
Credential: C.P.O.
Phone: 201-891-6876