Jayson Mobile Care Phlebotomist LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

JAYSON MOBILE CARE PHLEBOTOMIST LLC

Practice address

80 Corbin Ave
Jersey City, NJ 07306-6914

Phone

(973) 866-7453

Fax

(973) 528-2558

NPI assigned

Jul 31, 2020

Organization subpart

No

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

Authorized official

Name

Shakti D Manbode, CEONPI 1437794807

Title

Owner

Phone

(973) 820-7681

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shakti D Manbode, MOBILE PHLEBOTOMIST

  • Technician
  • Belleville, NJ
  • NPI 1437794807
  NPD Authorized official

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596153600000",
    "number": "1992315337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 LITTLE ST",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071092629",
            "telephone_number": "973-820-7681",
            "fax_number": "973-528-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 CORBIN AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073066914",
            "telephone_number": "973-866-7453",
            "fax_number": "973-528-2558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYSON MOBILE CARE PHLEBOTOMIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-31",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A",
        "authorized_official_last_name": "MANBODE",
        "authorized_official_first_name": "SHAKTI",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-820-7681",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Bridget Japay
• Marinelle C Japzon, PT
• Evelyn Jardinico
• Mohammad Tariq Javed, M.D.
• Muhammad Ehtesham Javed, M.D
• JC Chemist
• JC Chiropractic
• JC Family Dental LLC
• JC Health Services.LLC
• JC Old Stone Acupuncture, P.C.

• Clinical Medical Laboratory in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Clinical Medical Laboratory in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.