=====================================================
General NPI Number Information
=====================================================
NPI Number | 1487518270
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | GELASS TRANSPORTATION LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/15/2025
-----------------------------------------------------
Last Update Date | 12/15/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 57 CALUMET AVE
-----------------------------------------------------
City | LAKE HIAWATHA
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07034-2731
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 973-979-2442
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 632
-----------------------------------------------------
City | ROSELAND
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07068-0632
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 973-979-2442
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | AMANI S EISA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 973-979-2442
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 343800000X
-----------------------------------------------------
Taxonomy Name | Secured Medical Transport (VAN)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------