Raylor Adames

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

NPI 1992307664 · NPPES record last updated Nov 9, 2020

Key facts

NPI
1992307664
Entity type
Individual (NPI type 1)
Primary specialty
Non-emergency Medical Transport (VAN) 343900000X
Practice address
417 Lake St
Newark, NJ 07104-1331
Phone
(973) 970-3331
Fax
(973) 221-8832
NPI assigned
Nov 9, 2020
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

417 Lake St
Newark, NJ 07104-1331

Mailing address

417 Lake St
Newark, NJ 07104-1331
Phone (973) 970-3331

Other providers in Newark, NJ

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

Sources for this page

Verify at the official NPI Registry.