MEDICARE: NJERSEY MEDICAL TRASNPORT

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	3416L0300X	Land Ambulance

General Provider Information

NPI Number	:	1467933093
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NJERSEY MEDICAL TRASNPORT

Provider Business Mailing Address
First Line	:	327 STOVER AVE
Second Line	:
City	:	NORTH ARLINGTON
State	:	NJ
Zip	:	07031-5540
Country	:	US
Telephone Number	:	551-655-3285
Fax Number	:

Provider Business Practice Location Address
First Line	:	327 STOVER AVE
Second Line	:
City	:	NORTH ARLINGTON
State	:	NJ
Zip	:	07031-5540
Country	:	US
Telephone Number	:	551-655-3285
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	ALEJANDRO MANUEL SIERRA
Credential	:
Telephone Number	:	551-655-3285

Provider Enumeration Date	:	08/22/2018
Last Update Date	:	08/22/2018

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Directions to “NJERSEY MEDICAL TRASNPORT ” Practice Location

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