Organization Active NPI

Eagle Medical Transport Inc

  • Ambulance
  • Pittstown, NJ
National Provider Identifier
1174531339
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
EAG100168 Issued in NJ
Legal business name
EAGLE MEDICAL TRANSPORT INC
Practice address
373 Pittstown Rd
Pittstown, NJ 08867
Phone
(908) 730-8000
Fax
(908) 730-6005
NPI assigned
Aug 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Kenneth T Weinberg, EMT
Title
President
Phone
(908) 730-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X EAG100168 NJ Primary

Addresses

Primary practice location

373 Pittstown Rd
Pittstown, NJ 08867

Mailing address

373 Pittstown Rd
PO Box 347
Pittstown, NJ 08867
Phone (908) 730-8000

Other identifiers 1

IdentifierTypeStateIssuer
3021203MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174531339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 PITTSTOWN RD",
            "address_2": "PO BOX 347",
            "city": "PITTSTOWN",
            "state": "NJ",
            "postal_code": "08867",
            "telephone_number": "908-730-8000",
            "fax_number": "908-730-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 PITTSTOWN RD",
            "city": "PITTSTOWN",
            "state": "NJ",
            "postal_code": "08867",
            "telephone_number": "908-730-8000",
            "fax_number": "908-730-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE MEDICAL TRANSPORT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-730-8000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NJ",
            "license": "EAG100168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3021203",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittstown, NJ

Sources for this page

  • 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.