MEDICARE: VITAL BUS TRANSPORTATION LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1366377012
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VITAL BUS TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	9 INSTITUTE ST
Second Line	:
City	:	FREEHOLD
State	:	NJ
Zip	:	07728-2309
Country	:	US
Telephone Number	:	848-459-8255
Fax Number	:	848-459-8255

Provider Business Practice Location Address
First Line	:	9 INSTITUTE ST
Second Line	:
City	:	FREEHOLD
State	:	NJ
Zip	:	07728-2309
Country	:	US
Telephone Number	:	848-459-8255
Fax Number	:	848-459-8255

Authorized Official
Title or Position	:	OWNER
Name	:	MR. MARIO VITAL SR.
Credential	:
Telephone Number	:	848-459-8255

Provider Enumeration Date	:	06/15/2026
Last Update Date	:	06/15/2026

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