David Morales Jr., EMT
Individual provider Active NPI Basic Emergency Medical Technician · Deptford Township, NJ
NPI 1053789487 · NPPES record last updated Sep 2, 2015
Key facts
- NPI
- 1053789487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Basic Emergency Medical Technician 146N00000X
- License
- 580122 (NJ)
- Practice address
- 133 Peterson Blvd
Deptford Township, NJ 08096 - Phone
- (856) 409-0135
- NPI assigned
- Sep 2, 2015
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Emergency Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 580122 | NJ | MD | Basic Emergency Medical Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | 580122 | NJ | Yes |
Addresses
Primary practice location
133 Peterson Blvd
Deptford Township, NJ 08096
Mailing address
133 Peterson Blvd
Deptford Township, NJ 08096
Phone (856) 409-0135
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.