Provider Demographics
NPI:1699403766
Name:GLOBAL PASSPORT, INC
Entity type:Organization
Organization Name:GLOBAL PASSPORT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HONEGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-828-0734
Mailing Address - Street 1:301 ROUTE 17 STE 800
Mailing Address - Street 2:
Mailing Address - City:RUTHERFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07070-2581
Mailing Address - Country:US
Mailing Address - Phone:917-828-0734
Mailing Address - Fax:
Practice Address - Street 1:301 ROUTE 17 STE 800
Practice Address - Street 2:
Practice Address - City:RUTHERFORD
Practice Address - State:NJ
Practice Address - Zip Code:07070-2581
Practice Address - Country:US
Practice Address - Phone:917-828-0734
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-08
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No332U00000XSuppliersHome Delivered Meals
No344600000XTransportation ServicesTaxi
No347C00000XTransportation ServicesPrivate Vehicle
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ01Medicaid