Active NPI
Wellness Medical Transportation
- Non-emergency Medical Transport (VAN)
- Silver Spring, MD
National Provider Identifier
1104380815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- WELLNESS MEDICAL TRANSPORTATION
- Practice address
- 14505 Jaystone Dr
Silver Spring, MD 20905-7403 - Phone
- (301) 728-9987
- NPI assigned
- Jan 27, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacob Nanjo
- Title
- President
- Phone
- (301) 728-9987
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
14505 Jaystone Dr
Silver Spring, MD 20905-7403
Mailing address
14505 Jaystone Dr
Silver Spring, MD 20905-7403
Phone (301) 728-9987
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548547200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1548547200000",
"number": "1104380815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14505 JAYSTONE DR",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209057403",
"telephone_number": "301-728-9987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14505 JAYSTONE DR",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209057403",
"telephone_number": "301-728-9987"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLNESS MEDICAL TRANSPORTATION",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-27",
"last_updated": "2019-01-27",
"status": "A",
"authorized_official_last_name": "NANJO",
"authorized_official_first_name": "JACOB",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "301-728-9987"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.