| Organization Name: | MED STAR MEDICALTRANSPORT |
| NPI Number: | 1245436450 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JUSTIN ALEN SASSO (OWNER) |
| Mailing Address: | 439 Fort Lee Rd Leonia |
| State: | NJ US |
| Postal Code: | 076051132 |
| Phone Number: | 5512655692 |
| Fax Number: | 2017549756 |
| NPI Enumeration Date: | 06/25/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 347C00000X |
| License Number: | 554828554076050 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Private Vehicle |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual paid to provide non-emergency transportation using their privately owned/leased vehicle. |