Provider Demographics
NPI:1154284206
Name:EXPRESS MEDICAL TRANSPORT
Entity type:Organization
Organization Name:EXPRESS MEDICAL TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALBAN
Authorized Official - Middle Name:
Authorized Official - Last Name:IBRAIMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:862-297-7974
Mailing Address - Street 1:127 PASSAIC AVE
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07506-1433
Mailing Address - Country:US
Mailing Address - Phone:862-297-7974
Mailing Address - Fax:908-479-4091
Practice Address - Street 1:53 E 23RD ST
Practice Address - Street 2:
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07514
Practice Address - Country:US
Practice Address - Phone:862-297-7974
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-12-05
Last Update Date:2025-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport