Provider Demographics
NPI:1154746691
Name:INFINITY AMBULANCE SERVICES LLC
Entity type:Organization
Organization Name:INFINITY AMBULANCE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YASIR
Authorized Official - Middle Name:I
Authorized Official - Last Name:ELTAYEB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-885-1113
Mailing Address - Street 1:7 APPLEMAN RD
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-1719
Mailing Address - Country:US
Mailing Address - Phone:973-855-1113
Mailing Address - Fax:
Practice Address - Street 1:7 APPLEMAN RD
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-1719
Practice Address - Country:US
Practice Address - Phone:973-855-1113
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-20
Last Update Date:2014-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ100608341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance