Organization Active NPI

Delta Medical Transportation

  • Land Ambulance
  • Totowa, NJ
National Provider Identifier
1104666593
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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

Updated by the provider on Feb 21, 2025

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

Authorized official

Name
Alesandro ShytajNPI 1366219453
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20250123000092 NJ Part B Supplier - Ambulance Service Supplier 6800325762 Practice locations: Prospect Park, NJ

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.