Organization Active NPI

On Time Mobility Network

  • Non-emergency Medical Transport (VAN)
  • Burnsville, MN
National Provider Identifier
1316311368
Registry record updated Nov 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
ON TIME MOBILITY NETWORK
Practice address
900 W 128TH St
Ste 115
Burnsville, MN 55337-2455
Phone
(952) 895-1111
Fax
(952) 314-8787
NPI assigned
Nov 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2015

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

Authorized official

Name
Gerry Bogonko
Title
Operations Manager
Phone
(952) 212-9816

Specialties & licenses 1

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

Addresses

Primary practice location

900 W 128TH St
Ste 115
Burnsville, MN 55337-2455

Mailing address

900 W 128TH St
Ste 115
Burnsville, MN 55337-2455
Phone (952) 895-1111

National Provider Directory

National Provider Directory

Locations

900 W 128th St
Ste 115
Burnsville, MN 55337
Phone (952) 895-1111

NPI Registry JSON

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

{
    "created_epoch": "1447372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447372800000",
    "number": "1316311368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W 128TH ST",
            "address_2": "STE 115",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372455",
            "telephone_number": "952-895-1111",
            "fax_number": "952-314-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W 128TH ST",
            "address_2": "STE 115",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372455",
            "telephone_number": "952-895-1111",
            "fax_number": "952-314-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON TIME MOBILITY NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-13",
        "last_updated": "2015-11-13",
        "status": "A",
        "authorized_official_last_name": "BOGONKO",
        "authorized_official_first_name": "GERRY",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "952-212-9816"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; 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.