Healthcare Provider Details

I. General information

NPI: 1700766243
Provider Name (Legal Business Name): SIMPLE RIDE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2025
Last Update Date: 09/04/2025
Certification Date: 09/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1275 NORTH AVE
PLAINFIELD NJ
07062-1724
US

IV. Provider business mailing address

1275 NORTH AVE
PLAINFIELD NJ
07062-1724
US

V. Phone/Fax

Practice location:
  • Phone: 908-397-7119
  • Fax:
Mailing address:
  • Phone: 908-397-7119
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-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: SHAQUERRA SHEFFIELD
Title or Position: MBR
Credential:
Phone: 908-397-7119