Active NPI
Premiere Plus Medical Transportation
- Non-emergency Medical Transport (VAN)
- East Orange, NJ
National Provider Identifier
1245750686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- PREMIERE PLUS MEDICAL TRANSPORTATION
- Practice address
- 180 Prospect St Apt F4
East Orange, NJ 07017-2643 - Phone
- (862) 264-8684
- NPI assigned
- Jun 27, 2017
- 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
- Treavern Humphrey
- Title
- Ceo
- Phone
- (862) 264-8684
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | NJ | ||
| Secured Medical Transport (VAN) | 343800000X | NJ | ||
| Non-emergency Medical Transport (VAN) | 343900000X | NJ | Primary |
Addresses
Primary practice location
180 Prospect St Apt F4
East Orange, NJ 07017-2643
Mailing address
180 Prospect St Apt F4
East Orange, NJ 07017-2643
Phone (862) 264-8684
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1498521600000",
"number": "1245750686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 PROSPECT ST APT F4",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "070172643",
"telephone_number": "862-264-8684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 PROSPECT ST APT F4",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "070172643",
"telephone_number": "862-264-8684"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIERE PLUS MEDICAL TRANSPORTATION",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-27",
"last_updated": "2017-06-27",
"status": "A",
"authorized_official_last_name": "HUMPHREY",
"authorized_official_first_name": "TREAVERN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "862-264-8684"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "NJ",
"license": null,
"primary": false
},
{
"code": "343800000X",
"taxonomy_group": "",
"desc": "Secured Medical Transport (VAN)",
"state": "NJ",
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "NJ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.