Provider Demographics
NPI:1215814975
Name:KARGBO, SAIDU JOSEPH
Entity type:Individual
Prefix:
First Name:SAIDU
Middle Name:JOSEPH
Last Name:KARGBO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 HEMPSTEAD DR
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-3916
Mailing Address - Country:US
Mailing Address - Phone:609-212-8033
Mailing Address - Fax:
Practice Address - Street 1:28 HEMPSTEAD DR
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-3916
Practice Address - Country:US
Practice Address - Phone:609-212-8033
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-16
Last Update Date:2025-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJK05826847112812343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)