Organization
NIGHTSTAR BLENDS TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMEEL TARIQ SIRMAN (OWNER / CEO)
(973) 955-8234
Entity
Organization
Contact information
Practice address
60 EVERGREEN PL STE 200, EAST ORANGE, NJ 07018-2114
(973) 678-3966
Mailing address
491 CLINTON AVE APT 12, NEWARK, NJ 07108-1889
(973) 955-8234
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
—
—
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347B00000X
Bus
—
—
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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