1265730121 NPI number — TRANSCARE ML, 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 1265730121 NPI number — TRANSCARE ML, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TRANSCARE ML, 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:
Provider Other Organization Name Type Code:
6
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:
1265730121
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/20/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1 METROTECH CTR
Provider Second Line Business Mailing Address:
20TH FLOOR
Provider Business Mailing Address City Name:
BROOKLYN
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11201-3948
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-763-8888
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6700 WASHINGTON AVENUE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EGG HARBOR TOWNSHIP
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08234-1938
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
267-773-8510
Provider Business Practice Location Address Fax Number:
215-827-5921
Provider Enumeration Date:
03/02/2011

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
O'CONNOR
Authorized Official First Name:
JAMES
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
718-510-9080

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  T2242017 , 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)