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GALLANT MOBIL CARE INC NPI 1386707065


NPI Information

NPI: 1386707065
Provider Name: GALLANT MOBIL CARE INC
Classification: Non-emergency Medical Transport (VAN) - 343900000X
Entity Type: Organization
Address:
995 PORT READING AVE
PORT READING, NJ
ZIP 07064
Phone: (732) 969-2588
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GALLANT MOBIL CARE INC is a non emergency medical transport van in Port Reading, NJ. The provider is a land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. GALLANT MOBIL CARE INC NPI is 1386707065. The provider is registered as an organization entity type.

The provider's business location address is:

995 PORT READING AVE
PORT READING, NJ
ZIP 07064-037
Phone: (732) 969-2588
Fax: (732) 969-2012

The provider's authorized official is Israil Ayzin .
The authorized official title is President and has the following contact phone number (732) 969-2588.

The enumeration date for this NPI number is 12/18/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1343900000XNon-emergency Medical Transport (VAN)GALL00216NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17223501MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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