Provider Demographics
NPI:1952520728
Name:YASSIEN MOBILITY ASSISTANCE & AMBULANCE INC
Entity Type:Organization
Organization Name:YASSIEN MOBILITY ASSISTANCE & AMBULANCE INC
Other - Org Name:EMR OF NJ
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANELLE
Authorized Official - Middle Name:DESHA
Authorized Official - Last Name:DEOSINGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-674-8720
Mailing Address - Street 1:160 N ARLINGTON AVE
Mailing Address - Street 2:FIRST FLOOR
Mailing Address - City:EAST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07017-4204
Mailing Address - Country:US
Mailing Address - Phone:973-674-8720
Mailing Address - Fax:973-674-8730
Practice Address - Street 1:160 N ARLINGTON AVE
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07017-4204
Practice Address - Country:US
Practice Address - Phone:973-674-8720
Practice Address - Fax:973-674-8730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ3416L0300X341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3698559OtherATENA
NJ60927OtherAMERIGROUP
NJ7763603Medicaid
NJ60000009OtherHORIZON
NJ3698559OtherATENA