Healthcare Provider Details

I. General information

NPI: 1447598347
Provider Name (Legal Business Name): PTM TRANSPORTATION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2013
Last Update Date: 03/08/2023
Certification Date: 03/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 LINCOLN AVE
MARMORA NJ
08223-1837
US

IV. Provider business mailing address

800 LINCOLN AVE
MARMORA NJ
08223-1837
US

V. Phone/Fax

Practice location:
  • Phone: 609-573-2226
  • Fax: 609-478-6388
Mailing address:
  • Phone: 609-573-2226
  • Fax: 609-478-6388

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number1609205
License Number StateNJ

VIII. Authorized Official

Name: MR. PATRICK THOMAS MULLEN
Title or Position: CEO
Credential:
Phone: 609-573-2226