1013999085 NPI number — ABLE MEDICAL TRANSPORTATION, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013999085 NPI number — ABLE MEDICAL TRANSPORTATION, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ABLE MEDICAL TRANSPORTATION, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
ABLE AMBULANCE & INVALID COACH
Provider Other Organization Name Type Code:
4
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1013999085
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 6837
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BRIDGEWATER
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08807-0837
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
908-203-9400
Provider Business Mailing Address Fax Number:
908-203-0819

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
61 5TH ST
Provider Second Line Business Practice Location Address:
SECOND FLOOR
Provider Business Practice Location Address City Name:
SOMERVILLE
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08876-3240
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
908-203-9400
Provider Business Practice Location Address Fax Number:
908-203-0819
Provider Enumeration Date:
11/16/2005

Additional Information

Authorized Official

Authorized Official Last Name:
SCOTT
Authorized Official First Name:
GREGORY
Authorized Official Middle Name:
Authorized Official Title or Position:
VICE PRESIDENT
Authorized Official Telephone Number:
908-203-9400

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  ABLE00011 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 3165400 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".




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