Healthcare Provider Details
I. General information
NPI: 1013605146
Provider Name (Legal Business Name): STARS MEDICAL TRANSPORTATION CORP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/26/2023
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
127 GAITHER DR STE C
MOUNT LAUREL NJ
08054-1707
US
IV. Provider business mailing address
127 GAITHER DR STE C
MOUNT LAUREL NJ
08054-1707
US
V. Phone/Fax
- Phone: 973-855-1354
- Fax: 973-689-8555
- Phone: 973-855-1353
- Fax: 973-689-8555
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3416L0300X |
| Taxonomy | Land Ambulance |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SHPETIM
ASANI
Title or Position: OWNER
Credential:
Phone: 973-755-8585