Miguel Black
Driver in Jersey City, New Jersey
1659035996- Practice location
- 5 Laidlaw Ave Apt 105, Jersey City, NJ 07306-1550
- Phone
- 646-578-0037
- Fax
- —
- Last updated
- October 22, 2021
Miguel Black is a Driver based in Jersey City, NJ. Miguel Black practices in Jersey City, NJ. The NPI Number for Miguel Black is 1659035996 and holds a License No. B50095470001842 (NJ). The current practice location address for Miguel Black is 5 Laidlaw Ave Apt 105, Jersey City, NJ 07306-1550 and can be reached out via phone at 646-578-0037.
Provider Profile Details
- NPI Number
- 1659035996
- Provider Name
- Miguel Black
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 5 Laidlaw Ave Apt 105, Jersey City, NJ 07306-1550
- Phone Number
- 646-578-0037
- Primary Taxonomy
- Driver · 172A00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 22, 2021
- Last Update Date
- October 22, 2021
- Certification Date
- October 22, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 5 Laidlaw Ave Apt 105
Jersey City, NJ 07306-1550 - City
- Jersey City
- State
- New Jersey
- Zip
- 07306-1550
- Phone Number
- 646-578-0037
Provider Business Mailing Address Details
- Address
- 392 Central Ave Unit 7806
Jersey City, NJ 07307-7623 - City
- Jersey City
- State
- NJ
- Zip
- 07307-7623
- Phone Number
- 201-952-1269
- Fax Number
- 201-526-7308
License Information
- Taxonomy (1)
- Driver · 172A00000X
- Taxonomy (2)
- Transportation Network Company · 342000000X
- License Number (3)
- B50095470001842
- License State (3)
- NJ
- Taxonomy (3)
- Transportation Network Company · 342000000X
- Taxonomy (4)
- Non-emergency Medical Transport (VAN) · 343900000X
- License Number (5)
- B50095470001842
- License State (5)
- NJ
- Taxonomy (5)
- Non-emergency Medical Transport (VAN) · 343900000X
- License Number (6)
- B50095470001842
- License State (6)
- NJ
- Taxonomy (6)
- Private Vehicle · 347C00000X
- Taxonomy (7)
- Transportation Broker · 347E00000X
- License Number (8)
- B50095470001842
- License State (8)
- NJ
- Taxonomy (8)
- Transportation Broker · 347E00000X
- License Number (9)
- B50095470001842
- License State (9)
- NJ
- Taxonomy (9)
- Driver · 172A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Drivers near Jersey City, NJ
View all Drivers in Jersey City →Frequently Asked Questions
What is the NPI number of Miguel Black?
The NPI number of Miguel Black is 1659035996. It was assigned on October 22, 2021 and is currently active in the NPPES registry.
What is the specialty of Miguel Black?
Miguel Black is registered under the primary taxonomy Driver (code 172A00000X), licensed in NJ under license number B50095470001842.
Where does Miguel Black practice?
The practice location is 5 Laidlaw Ave Apt 105, Jersey City, NJ 07306-1550. The office can be reached at 646-578-0037 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1659035996 directly on the NPPES registry website.