Provider Demographics
NPI:1346762911
Name:SAJOUSTE, RONEL
Entity Type:Individual
Prefix:
First Name:RONEL
Middle Name:
Last Name:SAJOUSTE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:476 ADAMS AVE
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07201-1411
Mailing Address - Country:US
Mailing Address - Phone:908-469-6520
Mailing Address - Fax:908-469-3552
Practice Address - Street 1:476 ADAMS AVENUE
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07201
Practice Address - Country:US
Practice Address - Phone:908-469-6520
Practice Address - Fax:908-469-3552
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)