Provider Demographics
NPI:1942415971
Name:AA VETERANS INC.
Entity Type:Organization
Organization Name:AA VETERANS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESEDENT
Authorized Official - Prefix:
Authorized Official - First Name:OSAMA
Authorized Official - Middle Name:MURTADA
Authorized Official - Last Name:ABDELLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-394-7938
Mailing Address - Street 1:PO BOX 8137
Mailing Address - Street 2:
Mailing Address - City:NORTH BERGEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07047-8137
Mailing Address - Country:US
Mailing Address - Phone:201-394-7938
Mailing Address - Fax:
Practice Address - Street 1:713 KENNEDY BLVD
Practice Address - Street 2:SUITE # 3
Practice Address - City:NORTH BERGEN
Practice Address - State:NJ
Practice Address - Zip Code:07047-1761
Practice Address - Country:US
Practice Address - Phone:201-394-7938
Practice Address - Fax:201-863-8601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ7763000343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7763000Medicaid