Professional Medical Transport

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

PROFESSIONAL MEDICAL TRANSPORT

Practice address

513 11TH Ave
Haddon Heights, NJ 08035-1803

Phone

(215) 651-4052

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

Dave Mosko, RN

Title

Ceo

Phone

(215) 651-4052

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164567665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 11TH AVE",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351803",
            "telephone_number": "215-651-4052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 11TH AVE",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351803",
            "telephone_number": "215-651-4052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL MEDICAL TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOSKO",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-651-4052",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATION NUMBER",
            "identifier": "0400157680",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Piliero
• Lynda Plank, MSN, APN-C
• Kelsey Pomeroy, PA
• Walter Poprycz, MD
• Susan Porreca, M.S., BCBA
• Professional Orthopedic Associates of/Is Southern NJ
• Melissa Anne Pryzbylkowski, PA-C
• Jena Diane Quinn, PHARMD
• Ryan Scott Rafferty, PA-C
• Stephanie Rai, APN

• Land Ambulance in Haddon Heights, NJ
• Providers in Haddon Heights, NJ by specialty
• Land Ambulance in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.