MEDICARE: AMERICAN EXPRESS LIMO INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1043076227
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN EXPRESS LIMO INC.

Provider Business Mailing Address
First Line	:	9 WHISPERING WOODS BLVD
Second Line	:
City	:	MONROE TOWNSHIP
State	:	NJ
Zip	:	08831-4063
Country	:	US
Telephone Number	:	212-542-0224
Fax Number	:

Provider Business Practice Location Address
First Line	:	2433 KNAPP ST # 301-B
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-1005
Country	:	US
Telephone Number	:	212-916-2639
Fax Number	:

Authorized Official
Title or Position	:	CTO
Name	:	RICHARD KRISS
Credential	:
Telephone Number	:	212-542-0224

Provider Enumeration Date	:	02/26/2024
Last Update Date	:	05/05/2025

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