MEDICARE: ZENITH GRACE TRANSPORT

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	:	1457202152
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZENITH GRACE TRANSPORT

Provider Business Mailing Address
First Line	:	178 SHERMAN AVE
Second Line	:
City	:	PATERSON
State	:	NJ
Zip	:	07502-1738
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	178 SHERMAN AVE
Second Line	:
City	:	PATERSON
State	:	NJ
Zip	:	07502-1738
Country	:	US
Telephone Number	:	862-262-9299
Fax Number	:

Authorized Official
Title or Position	:	CHIEF STRATEGY & DEVELOPMENT OFFICE
Name	:	MELISSA PEREZ
Credential	:
Telephone Number	:	862-262-9299

Provider Enumeration Date	:	02/07/2026
Last Update Date	:	02/07/2026

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Directions to “ZENITH GRACE TRANSPORT ” Practice Location

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