Provider Demographics
NPI:1821496316
Name:ROMANO MEDICAL TRANSPORT
Entity Type:Organization
Organization Name:ROMANO MEDICAL TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELVYS
Authorized Official - Middle Name:A
Authorized Official - Last Name:ROMAN JAVIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-523-2352
Mailing Address - Street 1:534 BROADWAY
Mailing Address - Street 2:APT 6E
Mailing Address - City:PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07514-2555
Mailing Address - Country:US
Mailing Address - Phone:201-523-2352
Mailing Address - Fax:732-283-4020
Practice Address - Street 1:142 STATE RT 23
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:POMPTON PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07444-2000
Practice Address - Country:US
Practice Address - Phone:201-523-2352
Practice Address - Fax:732-283-4020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-15
Last Update Date:2014-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1007173416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport