Organization Active NPI

Balance Invalid Coach,Inc.

  • Non-emergency Medical Transport (VAN)
  • Hillside, NJ
National Provider Identifier
1881807014
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
7687206 Issued in NJ
Legal business name
BALANCE INVALID COACH,INC.
Practice address
1215 Liberty Ave
Suite# 27
Hillside, NJ 07205-2054
Phone
(973) 332-1127
Fax
(973) 395-2724
NPI assigned
May 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Gamal E Yahya
Title
Owner
Phone
(973) 332-1127

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 7687206 NJ Primary

Addresses

Primary practice location

1215 Liberty Ave
Suite# 27
Hillside, NJ 07205-2054

Mailing address

1215 Liberty Ave
Suite# 27
Hillside, NJ 07205-2054
Phone (973) 332-1127

Other identifiers 1

IdentifierTypeStateIssuer
073471198072050OtherNJCORPORATION

National Provider Directory

National Provider Directory

Locations

1215 Liberty Ave
Ste 27
Hillside, NJ 07205
Phone (973) 332-1127

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881807014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 LIBERTY AVE",
            "address_2": "SUITE# 27",
            "city": "HILLSIDE",
            "state": "NJ",
            "postal_code": "072052054",
            "telephone_number": "973-332-1127",
            "fax_number": "973-395-2724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 LIBERTY AVE",
            "address_2": "SUITE# 27",
            "city": "HILLSIDE",
            "state": "NJ",
            "postal_code": "072052054",
            "telephone_number": "973-332-1127",
            "fax_number": "973-395-2724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE INVALID COACH,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YAHYA",
        "authorized_official_first_name": "GAMAL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-332-1127",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NJ",
            "license": "7687206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATION",
            "identifier": "073471198072050",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillside, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.