Provider Demographics
NPI:1215368568
Name:PRIORITY CARE TRANSPORT LLC
Entity Type:Organization
Organization Name:PRIORITY CARE TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTEO
Authorized Official - Middle Name:
Authorized Official - Last Name:DI PAOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-892-5266
Mailing Address - Street 1:590 W. DELILAH RD
Mailing Address - Street 2:
Mailing Address - City:PLEASANTVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08232
Mailing Address - Country:US
Mailing Address - Phone:609-232-2891
Mailing Address - Fax:888-979-8821
Practice Address - Street 1:590 W. DELILAH RD
Practice Address - Street 2:
Practice Address - City:PLEASANTVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08232
Practice Address - Country:US
Practice Address - Phone:609-232-2891
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-11
Last Update Date:2013-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ0142005343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)