Healthcare Provider Details

I. General information

NPI: 1295666030
Provider Name (Legal Business Name): CHARIOT WHEELS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

967 SICKLERVILLE RD
SICKLERVILLE NJ
08081-1624
US

IV. Provider business mailing address

103 WOOD THRUSH AVE
SICKLERVILLE NJ
08081-5289
US

V. Phone/Fax

Practice location:
  • Phone: 856-426-8891
  • Fax:
Mailing address:
  • Phone: 856-426-8891
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State

VIII. Authorized Official

Name: HELLENE MARTINEZ
Title or Position: CEO & FOUNDER
Credential: RN, BSN
Phone: 856-426-8891