Provider Demographics
NPI:1790466290
Name:ESSENTIAL CARE NON -EMERGENCY MEDICAL TRANSPORTATION
Entity Type:Organization
Organization Name:ESSENTIAL CARE NON -EMERGENCY MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ DRIVER
Authorized Official - Prefix:
Authorized Official - First Name:MOSHER
Authorized Official - Middle Name:F
Authorized Official - Last Name:ZAKIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-844-7547
Mailing Address - Street 1:45 E 18TH ST APT 414
Mailing Address - Street 2:
Mailing Address - City:BAYONNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07002-4485
Mailing Address - Country:US
Mailing Address - Phone:201-844-4446
Mailing Address - Fax:
Practice Address - Street 1:45 E 18TH ST APT 414
Practice Address - Street 2:
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002-4485
Practice Address - Country:US
Practice Address - Phone:201-844-4446
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-27
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)