Organization
RENAISSANCE INVALID COACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOJTABA GUSEMALSEED CPR, MAVT (OWNER)
(973) 497-0045
Entity
Organization
Contact information
Practice address
226 LINCOLN AVE, # 10, NEWARK, NJ 07104-3452
(973) 497-0045
(973) 497-1155
Mailing address
PO BOX 22711, NEWARK, NJ 07101-2711
(973) 497-0045
(973) 497-1155
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
RENA00492
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7356501
—
NJ
Enumeration date
05/10/2007
Last updated
07/26/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us