Provider Demographics
NPI:1972202380
Name:INDEPENDENT HEALTH TRANSIT
Entity type:Organization
Organization Name:INDEPENDENT HEALTH TRANSIT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:CATIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ORELIEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-868-8387
Mailing Address - Street 1:626 MAPLEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:ROSELLE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07204-1128
Mailing Address - Country:US
Mailing Address - Phone:908-868-8387
Mailing Address - Fax:
Practice Address - Street 1:153 E HIGHLAND PKWY
Practice Address - Street 2:
Practice Address - City:ROSELLE
Practice Address - State:NJ
Practice Address - Zip Code:07203-2644
Practice Address - Country:US
Practice Address - Phone:908-868-8387
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-24
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No343800000XTransportation ServicesSecured Medical Transport (VAN)