Provider Demographics
NPI:1770702938
Name:TAKTOOK MOBILITY ASSISTANCE
Entity type:Organization
Organization Name:TAKTOOK MOBILITY ASSISTANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ABDULGADER
Authorized Official - Middle Name:MOHAMED
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-418-8755
Mailing Address - Street 1:1595 KENNEDY BLVD
Mailing Address - Street 2:SUITE 408
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07305
Mailing Address - Country:US
Mailing Address - Phone:201-536-9590
Mailing Address - Fax:
Practice Address - Street 1:34 LEXINGTON AVE
Practice Address - Street 2:#31
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07304-1675
Practice Address - Country:US
Practice Address - Phone:201-536-9590
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJTAKT00560343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)