Provider Demographics
NPI:1346514932
Name:GOLDEN MEDICAL TRANSPORTATION, LLC
Entity Type:Organization
Organization Name:GOLDEN MEDICAL TRANSPORTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MONDYUT
Authorized Official - Middle Name:
Authorized Official - Last Name:SEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-724-7808
Mailing Address - Street 1:165 TONNELE AVE
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-5113
Mailing Address - Country:US
Mailing Address - Phone:888-785-8821
Mailing Address - Fax:
Practice Address - Street 1:165 TONNELE AVE
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07306-5132
Practice Address - Country:US
Practice Address - Phone:201-724-7808
Practice Address - Fax:888-615-0422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-29
Last Update Date:2015-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ0912018343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)