Provider Demographics
NPI:1245497536
Name:CITY WIDE TRANSPORTATION
Entity type:Organization
Organization Name:CITY WIDE TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KHALID
Authorized Official - Middle Name:
Authorized Official - Last Name:ALIELHASSAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-881-1191
Mailing Address - Street 1:52 COURTLAND ST
Mailing Address - Street 2:
Mailing Address - City:PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07503-2947
Mailing Address - Country:US
Mailing Address - Phone:973-881-1191
Mailing Address - Fax:973-881-1225
Practice Address - Street 1:52 COURTLAND ST
Practice Address - Street 2:
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07503-2947
Practice Address - Country:US
Practice Address - Phone:973-881-1191
Practice Address - Fax:973-881-1225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-22
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ9098101Medicaid