Organization Active NPI

Premiere Plus Medical Transportation

  • Non-emergency Medical Transport (VAN)
  • East Orange, NJ
National Provider Identifier
1245750686
Registry record updated Jun 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
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

Updated by the provider on Jun 27, 2017

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.