Organization Active NPI

Ez Ride Transport

  • Non-emergency Medical Transport (VAN)
  • Milwaukee, WI
National Provider Identifier
1245066133
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
EZ RIDE TRANSPORT
Practice address
5321 W Green Tree Rd
Milwaukee, WI 53223-5214
Phone
(414) 892-3233
NPI assigned
Sep 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Authorized official

Name
Mr. Justin Dominic Jackson
Title
Owner
Phone
(414) 892-3233

Specialties & licenses 1

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

Addresses

Primary practice location

5321 W Green Tree Rd
Milwaukee, WI 53223-5214

Mailing address

5321 W Green Tree Rd
Milwaukee, WI 53223-5214
Phone (414) 892-3233

National Provider Directory

National Provider Directory

Locations

5321 W Green Tree Rd
Milwaukee, WI 53223
Phone (414) 892-3233

NPI Registry JSON

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1245066133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5321 W GREEN TREE RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532235214",
            "telephone_number": "414-892-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5321 W GREEN TREE RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532235214",
            "telephone_number": "414-892-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZ RIDE TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "DOMINIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-892-3233",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.