Healthcare Provider Details

I. General information

NPI: 1144536376
Provider Name (Legal Business Name): A & E TRANSPORT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2010
Last Update Date: 08/25/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 GAMEWELL ST
HACKENSACK NJ
07601-4210
US

IV. Provider business mailing address

110 GAMEWELL ST
HACKENSACK NJ
07601-4210
US

V. Phone/Fax

Practice location:
  • Phone: 800-752-3331
  • Fax: 732-283-4020
Mailing address:
  • Phone: 800-752-3331
  • Fax: 732-283-4020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License NumberA0212086
License Number StateNJ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: SUMEER TOTEJA
Title or Position: BILLING MANAGER
Credential:
Phone: 732-803-1210