Provider Demographics
NPI:1326537168
Name:BRIGHTCARE TRANSPORTATION
Entity type:Organization
Organization Name:BRIGHTCARE TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:
Authorized Official - First Name:MARGARITA
Authorized Official - Middle Name:
Authorized Official - Last Name:IZRAILOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-404-7257
Mailing Address - Street 1:499 HORIZON DR
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08817-5706
Mailing Address - Country:US
Mailing Address - Phone:732-404-7257
Mailing Address - Fax:732-662-1764
Practice Address - Street 1:499 HORIZON DR
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08817-5706
Practice Address - Country:US
Practice Address - Phone:732-404-7257
Practice Address - Fax:732-662-1764
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-08
Last Update Date:2018-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ=========Medicaid