Marques Anderson
Individual provider Active NPI Non-emergency Medical Transport (VAN) · Hackensack, NJ
NPI 1962006312 · NPPES record last updated Nov 25, 2020
Key facts
- NPI
- 1962006312
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Non-emergency Medical Transport (VAN) 343900000X
- Practice address
- 586 Main St Apt Q
Hackensack, NJ 07601-5999 - Phone
- (917) 657-2108
- NPI assigned
- Nov 25, 2020
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | NY | Yes |
Addresses
Primary practice location
586 Main St Apt Q
Hackensack, NJ 07601-5999
Mailing address
586 Main St Apt Q
Hackensack, NJ 07601-5999
Phone (917) 657-2108
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- Andrea N Anfuso Sisto
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All providers in Hackensack, NJ · Non-emergency Medical Transport (VAN) in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.