Provider Demographics
NPI:1649386087
Name:PULSE MEDICAL TRANSPORTATION
Entity Type:Organization
Organization Name:PULSE MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:INCORVAIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-237-1313
Mailing Address - Street 1:24 ANDREWS DR
Mailing Address - Street 2:
Mailing Address - City:WEST PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07424
Mailing Address - Country:US
Mailing Address - Phone:973-237-1313
Mailing Address - Fax:973-237-1413
Practice Address - Street 1:24 ANDREWS DR
Practice Address - Street 2:
Practice Address - City:WEST PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07424
Practice Address - Country:US
Practice Address - Phone:973-237-1313
Practice Address - Fax:973-237-1413
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-21
Last Update Date:2010-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ590014834OtherRAILROAD
NJ8642303Medicaid
NJ8642303Medicaid