Provider Demographics
NPI:1811949779
Name:EXCEPTIONAL MEDICAL TRANSPORTATION
Entity type:Organization
Organization Name:EXCEPTIONAL MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:844-443-6246
Mailing Address - Street 1:5179 RTE 9
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07731-3751
Mailing Address - Country:US
Mailing Address - Phone:732-730-2456
Mailing Address - Fax:732-730-2461
Practice Address - Street 1:301 ALLIED PKWY
Practice Address - Street 2:
Practice Address - City:WEST BERLIN
Practice Address - State:NJ
Practice Address - Zip Code:08091-2600
Practice Address - Country:US
Practice Address - Phone:856-809-9300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJEXCEPT0063416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8244804Medicaid
NJ037882Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER