Provider Demographics
NPI:1043787864
Name:NJ TRANSPORTATION
Entity Type:Organization
Organization Name:NJ TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ABDUL
Authorized Official - Middle Name:
Authorized Official - Last Name:LIMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-519-5493
Mailing Address - Street 1:351 LINWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07502-1023
Mailing Address - Country:US
Mailing Address - Phone:973-519-5493
Mailing Address - Fax:
Practice Address - Street 1:351 LINWOOD AVE
Practice Address - Street 2:
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07502-1023
Practice Address - Country:US
Practice Address - Phone:973-519-5493
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-30
Last Update Date:2018-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)