Provider Demographics
NPI:1396778429
Name:JJL&W INC. T/A KOMFORT & KARE
Entity type:Organization
Organization Name:JJL&W INC. T/A KOMFORT & KARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SETH
Authorized Official - Middle Name:
Authorized Official - Last Name:AUERBACH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-854-3100
Mailing Address - Street 1:424 N WHITE HORSE PIKE
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:NJ
Mailing Address - Zip Code:08049-1405
Mailing Address - Country:US
Mailing Address - Phone:856-854-3100
Mailing Address - Fax:
Practice Address - Street 1:424 N WHITE HORSE PIKE
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:NJ
Practice Address - Zip Code:08049-1405
Practice Address - Country:US
Practice Address - Phone:856-854-3100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ0075846335E00000X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3354407Medicaid
PA0011196930004Medicaid
NJ3354407Medicaid