Healthcare Provider Details

I. General information

NPI: 1407510324
Provider Name (Legal Business Name): MNJ MEDICAL TRANSPORTATION CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2021
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 W PASSAIC ST STE 23
ROCHELLE PARK NJ
07662-3105
US

IV. Provider business mailing address

151 W PASSAIC ST STE 23
ROCHELLE PARK NJ
07662-3105
US

V. Phone/Fax

Practice location:
  • Phone: 862-281-9636
  • Fax:
Mailing address:
  • Phone: 201-628-5258
  • Fax:

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 Number
License Number State

VIII. Authorized Official

Name: MR. JORGE R ESCALANTE-DUCOS
Title or Position: OWNER
Credential:
Phone: 201-628-5258