Organization
BC VELLA, INC
Active
Other names
PRN Medical Transport
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL VELLA (VICE PRESIDENT)
(609) 265-0317
Entity
Organization
Contact information
Practice address
308 E PARK AVE, HAINESPORT, NJ 08036-3609
(609) 265-0317
(609) 265-1567
Mailing address
PO BOX 510, HAINESPORT, NJ 08036-0510
(609) 265-0317
(609) 265-1567
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
—
NJ
3416L0300X
Land Ambulance
—
NJ
343800000X
Secured Medical Transport (VAN)
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000217000
AMERIHEALTH
NJ
01
—
2495100
AETNA PROVIDER NUMBER
NJ
05
—
8429901
—
NJ
Enumeration date
08/31/2005
Last updated
09/11/2025
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