Active NPI
Delta Medical Transportation
- Land Ambulance
- Totowa, NJ
National Provider Identifier
1104666593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- DELTA MEDICAL TRANSPORTATION
- Practice address
- 409 Minnisink Rd
Totowa, NJ 07512-1846 - Phone
- (973) 389-3111
- NPI assigned
- May 31, 2024
- 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
- Alesandro Shytaj
- Title
- Owner
- Phone
- (973) 389-3111
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
409 Minnisink Rd
Totowa, NJ 07512-1846
Mailing address
383 N 8TH St
Prospect Park, NJ 07508-2205
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250123000092 | NJ | Part B Supplier - Ambulance Service Supplier | 6800325762 | Practice locations: Prospect Park, NJ |
National Provider Directory
National Provider DirectoryLocations
409 Minnisink Rd
Totowa, NJ 07512
Phone (973) 389-3111
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Non-emergency Medical Transport (VAN)
- Prospect Park, NJ
- NPI 1366219453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717113600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740096000000",
"number": "1104666593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "383 N 8TH ST",
"city": "PROSPECT PARK",
"state": "NJ",
"postal_code": "075082205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 MINNISINK RD",
"city": "TOTOWA",
"state": "NJ",
"postal_code": "075121846",
"telephone_number": "973-389-3111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DELTA MEDICAL TRANSPORTATION",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-31",
"last_updated": "2025-02-21",
"certification_date": "2025-02-21",
"status": "A",
"authorized_official_last_name": "SHYTAJ",
"authorized_official_first_name": "ALESANDRO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "973-389-3111"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Totowa, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.