MEDICARE: BLACK RIDE INC

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	342000000X	Transportation Network Company

General Provider Information

NPI Number	:	1427819218
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLACK RIDE INC

Provider Business Mailing Address
First Line	:	7110 35TH AVE
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-3910
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3715 73RD ST FL 2
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-6263
Country	:	US
Telephone Number	:	917-400-3111
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MOHD SALAHUDDIN
Credential	:
Telephone Number	:	917-400-3110

Provider Enumeration Date	:	01/18/2024
Last Update Date	:	01/18/2024

Similar Medicare Providers

1518401769 — RELIABLE HOME CARE SERICES CORP.
Practice Location Address:

3715 73RD ST STE 208 , 208
JACKSON HEIGHTS, NY
11372-6263

Practice Phone: 917-780-6988
Practice Fax: 929-998-8392

1407860737 — BRAZOSPORT PEDIATRIC CLINIC, P.A.
Practice Location Address:

54 FLAG LAKE PLZ
LAKE JACKSON, TX
77566-6263

Practice Phone: 979-297-5066
Practice Fax: 979-297-9096

1649282237 — HEATHER DAWN RICKAWAY PA
Practice Location Address:

54 FLAG LAKE PLZ
LAKE JACKSON, TX
77566-6263

Practice Phone: 979-297-0362
Practice Fax: 979-297-9096

1336307172 — BRAZOSPORT CLINICAL LAB
Practice Location Address:

54 FLAG LAKE PLZ
LAKE JACKSON, TX
77566-6263

Practice Phone: 979-297-0362
Practice Fax: 979-297-9096

1295031979 — BRAZOSPORT PSYCHIATRIC CLINIC
Practice Location Address:

52 FLAG LAKE PLZ
LAKE JACKSON, TX
77566-6263

Practice Phone: 713-864-6694
Practice Fax:

1659670263 — LUCINDA JOHNSTONE LPC, LCDC
Practice Location Address:

56 FLAG LAKE PLZ
LAKE JACKSON, TX
77566-6263

Practice Phone: 979-297-4335
Practice Fax: 979-297-4315

Directions to “BLACK RIDE INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.