Provider Demographics
NPI:1265252126
Name:VENEY MEDICAL TRANSPORTATION LLC
Entity type:Organization
Organization Name:VENEY MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FREDERICK
Authorized Official - Middle Name:
Authorized Official - Last Name:VENEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-200-5569
Mailing Address - Street 1:763 QUAIL PL
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:08096-6215
Mailing Address - Country:US
Mailing Address - Phone:856-200-5569
Mailing Address - Fax:
Practice Address - Street 1:763 QUAIL PL
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:NJ
Practice Address - Zip Code:08096-6215
Practice Address - Country:US
Practice Address - Phone:856-200-5569
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-15
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)