Extra Care Transportation Inc

Primary specialty

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

Legal business name

EXTRA CARE TRANSPORTATION INC

Practice address

83 Harrison Ave
Jersey City, NJ 07304-2517

Phone

(551) 998-8010

Fax

(201) 205-2206

NPI assigned

Jun 18, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Mohamed Fadil

Title

Owner

Phone

(201) 618-8883

Specialties & licenses 1

Addresses

Other names 1

• extra care transportation corp Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gulnoza Rustami Rustami

  • Driving and Community Mobility Occupational Therapist
  • Jersey City, NJ
  • NPI 1255098679
  NPD (past)

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529280000000",
    "number": "1689168213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 HARRISON AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073042517",
            "telephone_number": "551-998-8010",
            "fax_number": "201-205-2206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 HARRISON AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073042517",
            "telephone_number": "551-998-8010",
            "fax_number": "201-205-2206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTRA CARE TRANSPORTATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-18",
        "last_updated": "2018-06-18",
        "status": "A",
        "authorized_official_last_name": "FADIL",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-618-8883",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "extra care transportation corp",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "extra care transportation corp",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Non-emergency Medical Transport (VAN) in Jersey City, NJ
• Providers in Jersey City, 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 Jun 18, 2018; 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.