MEDICARE: CARE MEDICAL TRANSPORTATION

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	PRN0031	NJ

General Provider Information

NPI Number	:	1932408051
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE MEDICAL TRANSPORTATION

Provider Business Mailing Address
First Line	:	PO BOX 510
Second Line	:
City	:	HAINESPORT
State	:	NJ
Zip	:	08036-0510
Country	:	US
Telephone Number	:	908-468-5415
Fax Number	:

Provider Business Practice Location Address
First Line	:	308 PARK AVE E
Second Line	:
City	:	HAINESPORT
State	:	NJ
Zip	:	08036-3609
Country	:	US
Telephone Number	:	609-265-1953
Fax Number	:

Authorized Official
Title or Position	:	PRINCIPLE
Name	:	SIVA KANAKAMEDALA
Credential	:
Telephone Number	:	908-468-5415

Provider Enumeration Date	:	03/16/2011
Last Update Date	:	04/08/2011

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Directions to “CARE MEDICAL TRANSPORTATION ” Practice Location

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