Healthcare Provider Details

I. General information

NPI: 1659759843
Provider Name (Legal Business Name): MORNING STAR MEDICAL TRANSPORT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2015
Last Update Date: 10/15/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 W 8TH ST
PLAINFIELD NJ
07060
US

IV. Provider business mailing address

435 W 7TH ST STE 1A
PLAINFIELD NJ
07060-1547
US

V. Phone/Fax

Practice location:
  • Phone: 908-477-0508
  • Fax:
Mailing address:
  • Phone: 908-548-8057
  • Fax: 908-293-2951

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: EUGENE ENYAOSA
Title or Position: PRESIDENT
Credential:
Phone: 908-477-0508