Healthcare Provider Details

I. General information

NPI: 1316307234
Provider Name (Legal Business Name): MED-X GLOBAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2016
Last Update Date: 03/04/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50B US HIGHWAY 9
MORGANVILLE NJ
07751-1526
US

IV. Provider business mailing address

PO BOX 720
MATAWAN NJ
07747-0720
US

V. Phone/Fax

Practice location:
  • Phone: 732-536-0505
  • Fax: 888-777-4799
Mailing address:
  • Phone: 732-536-0505
  • Fax: 888-777-4799

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code146L00000X
TaxonomyParamedic
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code282NR1301X
TaxonomyRural Acute Care Hospital
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3416A0800X
TaxonomyAir Ambulance
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LEONARD AUGUST
Title or Position: VICE PRESIDENT
Credential:
Phone: 732-536-0515