Provider Demographics
NPI:1073167003
Name:ROYAL CAR AMBULATE CORP
Entity Type:Organization
Organization Name:ROYAL CAR AMBULATE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:AWAD
Authorized Official - Middle Name:
Authorized Official - Last Name:BASHIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-736-2799
Mailing Address - Street 1:1297 CENTENNIAL AVE STE 5388
Mailing Address - Street 2:
Mailing Address - City:PISCATAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08854-4323
Mailing Address - Country:US
Mailing Address - Phone:551-247-9514
Mailing Address - Fax:201-205-2206
Practice Address - Street 1:32 GIFFORD AVE APT 2B
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07304-1928
Practice Address - Country:US
Practice Address - Phone:551-247-9514
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-29
Last Update Date:2019-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)