Active NPI
Med Motion Transport LLC
- Non-emergency Medical Transport (VAN)
- Grand Rapids, MI
National Provider Identifier
1235903337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- MED MOTION TRANSPORT LLC
- Practice address
- 240 Ionia Ave SW Apt 511
Grand Rapids, MI 49503-3112 - Phone
- (616) 635-5155
- NPI assigned
- Nov 8, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Abdulkerim Omar Mustafa
- Title
- Owner
- Phone
- (616) 635-5155
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
240 Ionia Ave SW Apt 511
Grand Rapids, MI 49503-3112
Mailing address
240 Ionia Ave SW Apt 511
Grand Rapids, MI 49503-3112
Phone (616) 635-5155
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1700092800000",
"number": "1235903337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 IONIA AVE SW APT 511",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495033112",
"telephone_number": "616-635-5155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 IONIA AVE SW APT 511",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495033112",
"telephone_number": "616-635-5155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MED MOTION TRANSPORT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-08",
"last_updated": "2023-11-16",
"certification_date": "2023-11-16",
"status": "A",
"authorized_official_last_name": "MUSTAFA",
"authorized_official_first_name": "ABDULKERIM",
"authorized_official_middle_name": "OMAR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "616-635-5155"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.