Amni Mohamed

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

HUDS00270 Issued in NJ

Practice address

134 Evergreen PL Ste 409
East Orange, NJ 07018-2010

Phone

(973) 266-1441

NPI assigned

May 6, 2014

Last updated

May 13, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hudson Invalid Coach Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hudson Invalid Coach LLC.

  • Non-emergency Medical Transport (VAN)
  • East Orange, NJ
  • NPI 1821400680
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399939200000",
    "number": "1255741617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 EVERGREEN PL STE 409",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182010",
            "telephone_number": "973-266-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 EVERGREEN PL STE 409",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182010",
            "telephone_number": "973-266-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMED",
        "first_name": "AMNI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-06",
        "last_updated": "2014-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NJ",
            "license": "HUDS00270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "412193592",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HUDSON",
            "last_name": "COACH",
            "middle_name": "INVALID",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Miracle Mental Health Care Services LLC
• Alvan E Mitchell, DMD
• Thomas P Mitchell
• Siuyin Mo, RPH
• Danielle Mobley
• Zeena Mohamed
• Mamatha G. Mohan, M.D.
• Mirseyed A Mohit-Tabatabai, MD
• Monark Living LLC
• Maricely Monteagudo Pena

• Non-emergency Medical Transport (VAN) in East Orange, NJ
• Providers in East Orange, NJ by specialty
• Non-emergency Medical Transport (VAN) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.