Provider Demographics
NPI:1205236197
Name:AL BAYAN MEDICAL TRANSPORTATION SERVICES LLC
Entity type:Organization
Organization Name:AL BAYAN MEDICAL TRANSPORTATION SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:GHANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:862-249-3000
Mailing Address - Street 1:15 DONNALIN PL
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013-3121
Mailing Address - Country:US
Mailing Address - Phone:862-249-3000
Mailing Address - Fax:862-591-2812
Practice Address - Street 1:15 DONNALIN PL
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-3121
Practice Address - Country:US
Practice Address - Phone:862-249-3000
Practice Address - Fax:862-591-2812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-27
Last Update Date:2014-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1007253416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport