Provider Demographics
NPI:1689892010
Name:ON TIME TRANSPORT, INC
Entity Type:Organization
Organization Name:ON TIME TRANSPORT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CUSTOMER SERVICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DELSANDRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-298-9500
Mailing Address - Street 1:135 E HIGHLAND PKWY
Mailing Address - Street 2:
Mailing Address - City:ROSELLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07203-2648
Mailing Address - Country:US
Mailing Address - Phone:908-298-9500
Mailing Address - Fax:908-298-9509
Practice Address - Street 1:135 E HIGHLAND PKWY
Practice Address - Street 2:
Practice Address - City:ROSELLE
Practice Address - State:NJ
Practice Address - Zip Code:07203-2648
Practice Address - Country:US
Practice Address - Phone:908-298-9500
Practice Address - Fax:908-298-9509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3458008Medicaid