Provider Demographics
NPI:1912368929
Name:HONEST MEDICAL TRANSPORTATION
Entity type:Organization
Organization Name:HONEST MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-662-1717
Mailing Address - Street 1:520 WESTFIELD AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07208-1644
Mailing Address - Country:US
Mailing Address - Phone:908-662-1717
Mailing Address - Fax:908-662-1718
Practice Address - Street 1:520 WESTFIELD AVE STE 203
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07208-1644
Practice Address - Country:US
Practice Address - Phone:908-662-1717
Practice Address - Fax:908-662-1718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-18
Last Update Date:2016-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMIRA00383343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)