=====================================================
General NPI Number Information
=====================================================
NPI Number | 1023829389
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | M & M GROUP INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/16/2025
-----------------------------------------------------
Last Update Date | 12/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 211 GLEN AVE
-----------------------------------------------------
City | PALISADES PARK
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07650-1518
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 201-417-6686
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 211 GLEN AVE
-----------------------------------------------------
City | PALISADES PARK
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07650-1518
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 201-417-6686
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | SAHIL NASSIM
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 201-417-6686
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3416L0300X
-----------------------------------------------------
Taxonomy Name | Land Ambulance
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------