Provider Demographics
NPI:1386687903
Name:SUNNY TRANSPORTATION INC
Entity Type:Organization
Organization Name:SUNNY TRANSPORTATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAFAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAPOSHNIKOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-602-8939
Mailing Address - Street 1:305 KIMBALL STREET
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07095
Mailing Address - Country:US
Mailing Address - Phone:732-602-8939
Mailing Address - Fax:732-602-8940
Practice Address - Street 1:305 KIMBALL ST
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07095-2518
Practice Address - Country:US
Practice Address - Phone:732-602-8939
Practice Address - Fax:732-602-8940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-13
Last Update Date:2012-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7500505Medicaid
NJ590015491OtherRR.MEDICARE
NJSU200191OtherBLUE CROSS BLUE SHIELD
NJA2191379OtherOXFORD
NJ010002153-00OtherAMERICHOICE
NJ1139636OtherHORIZON NJ HEALTH
NJ3K8790OtherHEALTH NET
PASU241079OtherBLUE SHIELD BLUE CROSS
NJ010002153-00OtherAMERICHOICE