Provider Demographics
| NPI: | 1013685106 |
|---|---|
| Name: | MRW MEDICAL TRANSPORTATION |
| Entity type: | Organization |
| Organization Name: | MRW MEDICAL TRANSPORTATION |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | OWNER |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | MARTIN |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | WILLIS |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 856-839-5504 |
| Mailing Address - Street 1: | 94 GREEN ST STE 202 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | WOODBRIDGE |
| Mailing Address - State: | NJ |
| Mailing Address - Zip Code: | 07095-2947 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 94 GREEN ST STE 202 |
| Practice Address - Street 2: | |
| Practice Address - City: | WOODBRIDGE |
| Practice Address - State: | NJ |
| Practice Address - Zip Code: | 07095-2947 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 856-839-5504 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2021-09-02 |
| Last Update Date: | 2025-04-21 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 343900000X | Transportation Services | Non-emergency Medical Transport (VAN) | ||
| No | 146N00000X | Emergency Medical Service Providers | Emergency Medical Technician, Basic | Group - Single Specialty |