Provider Demographics
NPI:1063952836
Name:SKY VIEW TRANSPORTATION LLC
Entity type:Organization
Organization Name:SKY VIEW TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GRACIELA
Authorized Official - Middle Name:E
Authorized Official - Last Name:VASCONEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-477-8315
Mailing Address - Street 1:223 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:SCOTCH PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07076-1040
Mailing Address - Country:US
Mailing Address - Phone:973-477-8315
Mailing Address - Fax:
Practice Address - Street 1:223 PARK AVE
Practice Address - Street 2:
Practice Address - City:SCOTCH PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07076-1040
Practice Address - Country:US
Practice Address - Phone:973-477-8315
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-27
Last Update Date:2017-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ803945901070600343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)