Organization Active NPI

Wellness Medical Transportation

  • Non-emergency Medical Transport (VAN)
  • Silver Spring, MD
National Provider Identifier
1104380815
Registry record updated Jan 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
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

Updated by the provider on Jan 27, 2019

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.