Organization Active NPI

Medical Auto Transport LLC

  • Non-emergency Medical Transport (VAN)
  • Atlantic Beach, FL
National Provider Identifier
1194582098
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MEDICAL AUTO TRANSPORT LLC
Practice address
307 Skate Rd
Atlantic Beach, FL 32233-3819
Phone
(904) 662-6752
NPI assigned
Mar 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Authorized official

Name
Adina Goonesekara
Title
Owner
Phone
(904) 662-6752

Specialties & licenses 1

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

Addresses

Primary practice location

307 Skate Rd
Atlantic Beach, FL 32233-3819

Mailing address

307 Skate Rd
Atlantic Beach, FL 32233-3819
Phone (904) 662-6752

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1194582098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 SKATE RD",
            "city": "ATLANTIC BEACH",
            "state": "FL",
            "postal_code": "322333819",
            "telephone_number": "904-662-6752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 SKATE RD",
            "city": "ATLANTIC BEACH",
            "state": "FL",
            "postal_code": "322333819",
            "telephone_number": "904-662-6752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL AUTO TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "GOONESEKARA",
        "authorized_official_first_name": "ADINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-662-6752"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.