Provider Demographics
NPI:1164849576
Name:ADONIS MEDICAL TRANSPORTATION
Entity type:Organization
Organization Name:ADONIS MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:PRADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-342-5395
Mailing Address - Street 1:14 MONTCLAIR AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07011-2823
Mailing Address - Country:US
Mailing Address - Phone:973-342-5395
Mailing Address - Fax:973-309-8758
Practice Address - Street 1:14 MONTCLAIR AVE
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07011-2823
Practice Address - Country:US
Practice Address - Phone:973-342-5395
Practice Address - Fax:973-309-8758
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-24
Last Update Date:2014-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ100612341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance