Provider Demographics
NPI:1184846883
Name:LYMARI INVALID COACH INC
Entity Type:Organization
Organization Name:LYMARI INVALID COACH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MAGDI
Authorized Official - Middle Name:B
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-798-2720
Mailing Address - Street 1:121 SHERMAN AVE
Mailing Address - Street 2:#3R
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07307-2126
Mailing Address - Country:US
Mailing Address - Phone:201-798-2720
Mailing Address - Fax:201-798-3040
Practice Address - Street 1:121 SHERMAN AVE
Practice Address - Street 2:#3R
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07307-2126
Practice Address - Country:US
Practice Address - Phone:201-798-2720
Practice Address - Fax:201-798-3040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJLYMA00329343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7232705Medicaid