Organization Active NPI

Valley Medical Transportation, LLC

  • Non-emergency Medical Transport (VAN)
  • Wayne, NJ
National Provider Identifier
1114411204
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
VALLEY MEDICAL TRANSPORTATION, LLC
Practice address
6 Augusta Dr
Wayne, NJ 07470-2921
Phone
(973) 930-1488
NPI assigned
Jun 21, 2018
Last updated
Jun 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Mr. Zimbri Zaku
Title
Owner
Phone
(973) 276-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X NU Primary

Addresses

Primary practice location

6 Augusta Dr
Wayne, NJ 07470-2921

Mailing address

28 Bloomfield Ave Ste 101a
Pine Brook, NJ 07058-9903
Phone (973) 276-1600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190327001142 NJ Part B Supplier - Ambulance Service Supplier 7315287448 Practice locations: Fairfield, NJ

National Provider Directory

National Provider Directory

Locations

75 Lane Rd
Ste 402
Fairfield, NJ 07004
Phone (973) 276-1600

28 Bloomfield Ave
Ste 101A
Pine Brook, NJ 07058
Phone (973) 276-1600

NPI Registry JSON

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1114411204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 BLOOMFIELD AVE STE 101A",
            "city": "PINE BROOK",
            "state": "NJ",
            "postal_code": "070589903",
            "telephone_number": "973-276-1600",
            "fax_number": "973-276-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 AUGUSTA DR",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702921",
            "telephone_number": "973-930-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY MEDICAL TRANSPORTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-21",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "ZAKU",
        "authorized_official_first_name": "ZIMBRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-276-1600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.