MEDICARE: REHOBOTH MOBILITY AND TRANSPORTATION LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1164375754
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REHOBOTH MOBILITY AND TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	11303 169TH ST # 2
Second Line	:
City	:	JAMAICA
State	:	NY
Zip	:	11433-3956
Country	:	US
Telephone Number	:	516-369-9904
Fax Number	:	516-369-9904

Provider Business Practice Location Address
First Line	:	48 19TH AVE
Second Line	:
City	:	NEWARK
State	:	NJ
Zip	:	07103-1418
Country	:	US
Telephone Number	:	929-631-5954
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. MURPHY ABIODUN
Credential	:
Telephone Number	:	516-369-9904

Provider Enumeration Date	:	02/16/2026
Last Update Date	:	02/16/2026

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