Healthcare Provider Details

I. General information

NPI: 1124441985
Provider Name (Legal Business Name): READY TO DEPLOY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2014
Last Update Date: 01/30/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 E BARBOUR ST
HALEDON NJ
07508-1546
US

IV. Provider business mailing address

60 E BARBOUR ST
HALEDON NJ
07508-1546
US

V. Phone/Fax

Practice location:
  • Phone: 862-591-7608
  • Fax: 973-995-1911
Mailing address:
  • Phone: 869-591-7608
  • Fax: 973-995-1911

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNJ

VIII. Authorized Official

Name: MR. RICHARD M ALMONZA
Title or Position: PRESIDENT
Credential:
Phone: 862-591-7608