Provider Demographics
NPI:1306120407
Name:CLEOPATRA TRANSPORT INC
Entity type:Organization
Organization Name:CLEOPATRA TRANSPORT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:
Authorized Official - Last Name:ELAGAMY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-622-8550
Mailing Address - Street 1:PO BOX 9157
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07104-9157
Mailing Address - Country:US
Mailing Address - Phone:201-622-8550
Mailing Address - Fax:862-576-7961
Practice Address - Street 1:35 2ND AVE
Practice Address - Street 2:
Practice Address - City:ROSELAND
Practice Address - State:NJ
Practice Address - Zip Code:07068-1620
Practice Address - Country:US
Practice Address - Phone:201-622-8550
Practice Address - Fax:862-576-7961
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-06
Last Update Date:2013-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)