=====================================================
General NPI Number Information
=====================================================
NPI Number | 1275027732
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LINDEN YELLOW CAB
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/19/2018
-----------------------------------------------------
Last Update Date | 06/19/2018
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1921 E ELIZABETH AVE
-----------------------------------------------------
City | LINDEN
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07036-1411
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 908-354-8888
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1921 E ELIZABETH AVE
-----------------------------------------------------
City | LINDEN
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07036-1411
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 908-354-8888
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGER
-----------------------------------------------------
Name | MR. WAYNE POHIDA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 908-377-2733
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 344600000X
-----------------------------------------------------
Taxonomy Name | Taxi
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------