Active NPI
Ez Ride Transport
- Non-emergency Medical Transport (VAN)
- Milwaukee, WI
National Provider Identifier
1245066133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.