Boom Boom Medical Transportation LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

BOOM BOOM MEDICAL TRANSPORTATION LLC

Practice address

50 Galesi Dr Ste 8
Wayne, NJ 07470-4842

Phone

(201) 757-9649

NPI assigned

Aug 19, 2022

Organization subpart

No

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

Authorized official

Name

Bashkim Arifi

Title

Member

Phone

(201) 757-9649

Specialties & licenses 1

Addresses

Other names 1

• Boom Boom Medical Transportation LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1225756794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 GALESI DR STE 8",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074704842",
            "telephone_number": "201-757-9649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 GALESI DR STE 8",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074704842",
            "telephone_number": "201-757-9649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOOM BOOM MEDICAL TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-19",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "ARIFI",
        "authorized_official_first_name": "BASHKIM",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "201-757-9649"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boom Boom Medical Transportation LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ruta Bondarenko, DNP, NP-C
• Cesira Boni
• George C. Bonifant, M.D.
• Martha Bonilla, P.T., D.P.T.
• Lindsay E Bonsanto, APN-C
• Bop RX Inc
• Caitlin Bopp, LSW
• Douglas Joseph Borkowski, M.D.
• William Henry Borrows, RN, BSN
• Natalia Bortell, NP

• Land Ambulance in Wayne, NJ
• Providers in Wayne, 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 Oct 4, 2023; 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.

Verify at the official NPI Registry.