Provider Demographics
NPI:1457487381
Name:AMERIRIDE INC
Entity Type:Organization
Organization Name:AMERIRIDE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:IDRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ELSADIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-222-3333
Mailing Address - Street 1:31 SOUTH ST
Mailing Address - Street 2:SUITE 206
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-7200
Mailing Address - Country:US
Mailing Address - Phone:201-222-3333
Mailing Address - Fax:973-267-4404
Practice Address - Street 1:31 SOUTH ST
Practice Address - Street 2:SUITE 206
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-7200
Practice Address - Country:US
Practice Address - Phone:201-222-3333
Practice Address - Fax:973-267-4404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ5395704343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5395704Medicaid