Organization Active NPI

Med-Trans Corporation

  • Air Ambulance
  • Bayville, NJ
National Provider Identifier
1083969596
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Air AmbulanceTaxonomy code 3416A0800X
Legal business name
MED-TRANS CORPORATION
Practice address
101 Airport Rd
Hangar 88
Bayville, NJ 08721-2779
Phone
(877) 288-5340
NPI assigned
Jul 20, 2012
Organization subpart
Yes
Parent organization
MED-TRANS CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eric Thomas
Title
SVP of Revenue Management
Phone
(877) 288-5340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Air Ambulance 3416A0800X Primary

Addresses

Primary practice location

101 Airport Rd
Hangar 88
Bayville, NJ 08721-2779

Mailing address

PO Box 708
West Plains, MO 65775-0708
Phone (877) 288-5340

Other names 1

  • Robert Wood Johnson Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120919000161 NJ Part B Supplier - Ambulance Service Supplier 8921904145 2 other NPIs on this enrollment
Practice locations: Bayville, NJ

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Med Star117 organizations share this tax ID, including this one
Part of
Med Star

Locations

101 Airport Rd
Hngr 88
Bayville, NJ 08721
Phone (732) 818-3360

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568160000000",
    "number": "1083969596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 708",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657750708",
            "telephone_number": "877-288-5340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 AIRPORT RD",
            "address_2": "HANGAR 88",
            "city": "BAYVILLE",
            "state": "NJ",
            "postal_code": "087212779",
            "telephone_number": "877-288-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-TRANS CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MED-TRANS CORPORATION",
        "enumeration_date": "2012-07-20",
        "last_updated": "2019-09-11",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "SVP OF REVENUE MANAGEMENT",
        "authorized_official_telephone_number": "877-288-5340"
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert Wood Johnson",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bayville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.