Provider Demographics
NPI:1720257710
Name:WHEELS INC OF NJ
Entity Type:Organization
Organization Name:WHEELS INC OF NJ
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:W
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-332-4032
Mailing Address - Street 1:20 RETFORD CT
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08048-5026
Mailing Address - Country:US
Mailing Address - Phone:856-541-1220
Mailing Address - Fax:609-702-0798
Practice Address - Street 1:20 RETFORD CT
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NJ
Practice Address - Zip Code:08048-5026
Practice Address - Country:US
Practice Address - Phone:856-541-1220
Practice Address - Fax:609-702-0798
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-25
Last Update Date:2008-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6891501Medicaid