Jva Mobility Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1-07-036351 Issued in IA

Legal business name

JVA MOBILITY INC

Practice address

2700 Falls Ave
Waterloo, IA 50701-5724

Phone

(319) 226-3363

Fax

(319) 226-3584

NPI assigned

Dec 6, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Vincent Wolrab

Title

Owner

Phone

(319) 226-3363

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Jva Mobility, Inc.

  • Customized Equipment (DME)
  • Cedar Rapids, IA
  • NPI 1003284936

  8628285426

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Jva Mobility Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jva Mobility, Inc.

  • Customized Equipment (DME)
  • Cedar Rapids, IA
  • NPI 1003284936
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286150400000",
    "number": "1982763207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 FALLS AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507015724",
            "telephone_number": "319-226-3363",
            "fax_number": "319-226-3584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 FALLS AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507015724",
            "telephone_number": "319-226-3363",
            "fax_number": "319-226-3584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JVA MOBILITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2010-10-04",
        "status": "A",
        "authorized_official_last_name": "WOLRAB",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-226-3363",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IA",
            "license": "1-07-036351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BLUE CROSS",
            "identifier": "35294",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0419861",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darrian Deangelis Jordan
• Connie Joylani, MD
• Kevin Eliot Juro, MD
• Merisa Jusic, MD
• Kristy Justice, RD, LD
• Amy Kacher, PHARMD
• Heather Kael
• Kaila Egan O.D., PLLC
• Tanja Kajtazovic
• Srinivas Kalala, M.D.

• Durable Medical Equipment & Medical Supplies in Waterloo, IA
• Providers in Waterloo, IA by specialty
• Durable Medical Equipment & Medical Supplies in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.