Healthcare Provider Details

I. General information

NPI: 1043668163
Provider Name (Legal Business Name): QUICKEST & RELIABLE TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2016
Last Update Date: 04/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 BANTA PL SUITE # 208
HACKENSACK NJ
07601-5611
US

IV. Provider business mailing address

20 BANTA PL SUITE # 208
HACKENSACK NJ
07601-5611
US

V. Phone/Fax

Practice location:
  • Phone: 201-887-2890
  • Fax: 201-625-6655
Mailing address:
  • Phone: 201-887-2890
  • Fax: 201-625-6655

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License NumberA56744106603592
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License NumberA56744106603592
License Number StateNJ

VII. Legacy identifiers

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

# 1
Identifier002126803
Identifier TypeOTHER
Identifier StateNJ
Identifier IssuerNJMVC USERID (UIN)

VIII. Authorized Official

Name: MR. JOSE ALVARADO
Title or Position: REGISTERED OFFICIAL
Credential:
Phone: 201-887-2890