Kevin G Iglesias

Individual provider Active NPI Non-emergency Medical Transport (VAN) · Fairview, NJ

NPI 1851097703 · NPPES record last updated Feb 2, 2023

Key facts

NPI
1851097703
Entity type
Individual (NPI type 1)
Primary specialty
Non-emergency Medical Transport (VAN) 343900000X
Practice address
646 Fairview Ave
Fairview, NJ 07022-1809
Phone
(201) 759-7700
NPI assigned
Feb 2, 2023
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Yes

Addresses

Primary practice location

646 Fairview Ave
Fairview, NJ 07022-1809

Mailing address

646 Fairview Ave
Fairview, NJ 07022-1809
Phone (201) 759-7700

Other providers in Fairview, NJ

All providers in Fairview, NJ · Non-emergency Medical Transport (VAN) in New Jersey

Sources for this page

Verify at the official NPI Registry.