MEDICARE: BC VELLA, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	3416L0300X	Land Ambulance	NJ
2	341600000X	Ambulance	NJ
3	343800000X	Secured Medical Transport (VAN)	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0000217000	OTHER	NJ	AMERIHEALTH
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	2495100	OTHER	NJ	AETNA PROVIDER NUMBER

General Provider Information

NPI Number	:	1699769000
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BC VELLA, INC

Provider Business Mailing Address
First Line	:	PO BOX 510
Second Line	:
City	:	HAINESPORT
State	:	NJ
Zip	:	08036-0510
Country	:	US
Telephone Number	:	609-265-0317
Fax Number	:	609-265-1567

Provider Business Practice Location Address
First Line	:	308 E PARK AVE
Second Line	:
City	:	HAINESPORT
State	:	NJ
Zip	:	08036-3609
Country	:	US
Telephone Number	:	609-265-0317
Fax Number	:	609-265-1567

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	SAMUEL VELLA
Credential	:
Telephone Number	:	609-265-0317

Provider Enumeration Date	:	08/31/2005
Last Update Date	:	09/11/2025

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Directions to “BC VELLA, INC ” Practice Location

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