Healthcare Provider Details

I. General information

NPI: 1265201560
Provider Name (Legal Business Name): VITALCARE MEDICAL TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2023
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333B US HIGHWAY 46 STE 209
FAIRFIELD NJ
07004-2444
US

IV. Provider business mailing address

5 LOUIS LN
KINNELON NJ
07405-2563
US

V. Phone/Fax

Practice location:
  • Phone: 201-920-1255
  • Fax: 973-969-6160
Mailing address:
  • Phone: 973-220-8766
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: VLORIM ODZA
Title or Position: OWNER
Credential:
Phone: 973-220-8766