Individual provider Active NPI

Joseph Mbuthi Wangu

  • Non-emergency Medical Transport (VAN)
  • Hudson, NH
National Provider Identifier
1154159796
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
NHL16640698 Issued in NH
Practice address
411 Abbott Farm LN
Hudson, NH 03051-3693
Phone
(603) 820-1431
NPI assigned
Jul 24, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X NHL16640698 NH Primary

Addresses

Primary practice location

411 Abbott Farm LN
Hudson, NH 03051-3693

Mailing address

411 Abbott Farm LN
Hudson, NH 03051-3693
Phone (603) 820-1431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
NHL16640698NHMDNon-emergency Medical Transport (VAN)

NPI Registry JSON

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

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1154159796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 ABBOTT FARM LN",
            "city": "HUDSON",
            "state": "NH",
            "postal_code": "030513693",
            "telephone_number": "603-820-1431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 ABBOTT FARM LN",
            "city": "HUDSON",
            "state": "NH",
            "postal_code": "030513693",
            "telephone_number": "603-820-1431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANGU",
        "first_name": "JOSEPH",
        "middle_name": "MBUTHI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NH",
            "license": "NHL16640698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.