Provider Demographics
NPI:1346895885
Name:ACTIVE TRANSIT INC.
Entity Type:Organization
Organization Name:ACTIVE TRANSIT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALAM
Authorized Official - Middle Name:E
Authorized Official - Last Name:ALLAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:551-998-2277
Mailing Address - Street 1:924 BERGEN AVE STE 171
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-3018
Mailing Address - Country:US
Mailing Address - Phone:551-998-2277
Mailing Address - Fax:201-205-2206
Practice Address - Street 1:32 GIFFORD AVE APT 2A
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:551-998-2277
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-01
Last Update Date:2019-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)