Provider Demographics
NPI:1366989386
Name:JUST ON TIME LIMO INC
Entity type:Organization
Organization Name:JUST ON TIME LIMO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KHUZAMA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOUGHAWECH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-368-7327
Mailing Address - Street 1:104 HALLADAY AVE
Mailing Address - Street 2:FL2
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-5225
Mailing Address - Country:US
Mailing Address - Phone:914-751-8814
Mailing Address - Fax:
Practice Address - Street 1:104 HALLADAY AVE
Practice Address - Street 2:FL2
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-5225
Practice Address - Country:US
Practice Address - Phone:914-751-8814
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-28
Last Update Date:2017-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY00018-16344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04404477Medicaid