MEDICARE: DIAMONDS TRANSPORTATION LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	343900000X	Non-emergency Medical Transport (VAN)
2	347E00000X	Transportation Broker
3	342000000X	Transportation Network Company

General Provider Information

NPI Number	:	1881585602
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIAMONDS TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	65 STEINER AVE APT 1
Second Line	:
City	:	NEPTUNE CITY
State	:	NJ
Zip	:	07753-6654
Country	:	US
Telephone Number	:	732-910-7363
Fax Number	:

Provider Business Practice Location Address
First Line	:	65 STEINER AVE APT 1
Second Line	:
City	:	NEPTUNE CITY
State	:	NJ
Zip	:	07753-6654
Country	:	US
Telephone Number	:	732-910-7363
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MAHMOUD B METWALLY
Credential	:
Telephone Number	:	732-910-7363

Provider Enumeration Date	:	07/10/2025
Last Update Date	:	07/10/2025

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