Provider Demographics
NPI:1326850835
Name:EZZY RIDE LLC
Entity type:Organization
Organization Name:EZZY RIDE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ROSELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:ASEMOTA
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:862-588-0844
Mailing Address - Street 1:289 REYNOLDS TER
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07050-3305
Mailing Address - Country:US
Mailing Address - Phone:862-588-0844
Mailing Address - Fax:973-675-0726
Practice Address - Street 1:289 REYNOLDS TER
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07050-3305
Practice Address - Country:US
Practice Address - Phone:862-588-0844
Practice Address - Fax:973-675-0726
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-22
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)