Provider Demographics
NPI:1205224805
Name:SHORELINE MEDICAL INC
Entity Type:Organization
Organization Name:SHORELINE MEDICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALEENA
Authorized Official - Middle Name:N
Authorized Official - Last Name:PARAGAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-931-5325
Mailing Address - Street 1:701 FORD RD
Mailing Address - Street 2:SUITE 8
Mailing Address - City:ROCKAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07866-2053
Mailing Address - Country:US
Mailing Address - Phone:973-931-5325
Mailing Address - Fax:732-283-4020
Practice Address - Street 1:701 FORD RD
Practice Address - Street 2:SUITE 8
Practice Address - City:ROCKAWAY
Practice Address - State:NJ
Practice Address - Zip Code:07866-2053
Practice Address - Country:US
Practice Address - Phone:973-931-5325
Practice Address - Fax:732-283-4020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-05
Last Update Date:2015-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1007243416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport