# NEW JERSEY AMBULANCE ADMINISTRATION LIMITED LIABILITY COMPANY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Genesis Medical Transportation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164749958
- **Authorized official:** ADAM MOHAMMED (OWNER)
- **Authorized official phone:** (862) 224-1204

## Contact information

- **Practice address:** 526 PROSPECT ST, EAST ORANGE, NJ 07017-3216
- **Practice address phone:** (862) 224-1204
- **Mailing address:** 16 CENTRAL PL, WEST ORANGE, NJ 07052-4302
- **Mailing address phone:** (862) 224-1204

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | — | — | Yes |

## Other

- **Enumeration date:** 05/03/2010
- **Last updated:** 02/27/2013