Healthcare Provider Details
I. General information
NPI: 1730898982
Provider Name (Legal Business Name): CATCH-A-RIDE OF NJ
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/16/2022
Last Update Date: 11/16/2022
Certification Date: 11/16/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
80 E RTE 4 STE 167
PARAMUS NJ
07652-2647
US
IV. Provider business mailing address
80 E RTE 4 STE 167
PARAMUS NJ
07652-2647
US
V. Phone/Fax
- Phone: 201-599-3100
- Fax:
- Phone: 201-599-3100
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name: MS.
STACEY
PAK
Title or Position: PARTNER
Credential:
Phone: 551-243-4181