Active NPI
Valley Medical Transportation, LLC
- Non-emergency Medical Transport (VAN)
- Wayne, NJ
National Provider Identifier
1114411204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- 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, 2018
- 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
- Mr. Zimbri Zaku
- Title
- Owner
- Phone
- (973) 276-1600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190327001142 | NJ | Part B Supplier - Ambulance Service Supplier | 7315287448 | Practice locations: Fairfield, NJ |
National Provider Directory
National Provider DirectoryLocations
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.