Provider Demographics
NPI:1730734583
Name:COXPHIT LLC
Entity type:Organization
Organization Name:COXPHIT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:B
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:201-655-9105
Mailing Address - Street 1:511 HARMON COVE TOWER UNIT 511
Mailing Address - Street 2:
Mailing Address - City:SECAUCUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07094-1707
Mailing Address - Country:US
Mailing Address - Phone:201-655-9105
Mailing Address - Fax:
Practice Address - Street 1:511 HARMON COVE TOWER UNIT 511
Practice Address - Street 2:
Practice Address - City:SECAUCUS
Practice Address - State:NJ
Practice Address - Zip Code:07094-1707
Practice Address - Country:US
Practice Address - Phone:201-655-9105
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-08
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty