Healthcare Provider Details

I. General information

NPI: 1649133893
Provider Name (Legal Business Name): ZOOM TAXI LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2025
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

279 BROADWAY STE 400B
LONG BRANCH NJ
07740-6941
US

IV. Provider business mailing address

279 BROADWAY STE 400B
LONG BRANCH NJ
07740-6941
US

V. Phone/Fax

Practice location:
  • Phone: 732-500-0993
  • Fax:
Mailing address:
  • Phone: 732-500-0993
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State

VIII. Authorized Official

Name: CHAMSEDDINE JEBALI
Title or Position: OWNER
Credential: JEBALI
Phone: 732-500-0993