MEDICARE: TOP TRANSPORT 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)	0116751	NJ

General Provider Information

NPI Number	:	1104040393
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOP TRANSPORT INC

Provider Business Mailing Address
First Line	:	90 HARMON ST
Second Line	:	APT # 2
City	:	JERSEY CITY
State	:	NJ
Zip	:	07304-2875
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	90 HARMON ST
Second Line	:	APT # 2
City	:	JERSEY CITY
State	:	NJ
Zip	:	07304-2875
Country	:	US
Telephone Number	:	201-832-5340
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. ELMURTADA A MAHGOUB
Credential	:
Telephone Number	:	201-832-5340

Provider Enumeration Date	:	04/12/2007
Last Update Date	:	08/22/2020

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Directions to “TOP TRANSPORT INC ” Practice Location

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