| Organization Name: | LIFESTAR RESPONSE OF NEW JERSEY, INC. |
| NPI Number: | 1205823713 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JONNY COLIN (CEO) |
| Mailing Address: | 657 Union Blvd Totowa |
| State: | NJ US |
| Postal Code: | 075122418 |
| Phone Number: | 9738127271 |
| Fax Number: | 9738121506 |
| NPI Enumeration Date: | 09/29/2005 |
| NPI Last Update Date: | 05/05/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | ADAM00017 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |