Provider Demographics
NPI:1043658727
Name:ON THE GO MEDICAL TRANSPORTATION LLC
Entity type:Organization
Organization Name:ON THE GO MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREEMAH
Authorized Official - Middle Name:
Authorized Official - Last Name:HILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:862-252-4677
Mailing Address - Street 1:8 HAYWARD ST
Mailing Address - Street 2:
Mailing Address - City:EAST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07017-1204
Mailing Address - Country:US
Mailing Address - Phone:862-252-4677
Mailing Address - Fax:973-789-8565
Practice Address - Street 1:8 HAYWARD ST
Practice Address - Street 2:
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07017-1204
Practice Address - Country:US
Practice Address - Phone:862-252-4677
Practice Address - Fax:973-789-8565
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-04
Last Update Date:2013-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ0712057341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance