Active NPI
Atlantic Medical Transport, LLC
- Land Ambulance
- Towson, MD
National Provider Identifier
1326789587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- ATLANTIC MEDICAL TRANSPORT, LLC
- Practice address
- 25 Dunvale Rd Apt 456
Towson, MD 21204-2693 - Phone
- (443) 812-3947
- NPI assigned
- Apr 3, 2022
- 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. Mark Steven Nellis
- Title
- Ceo
- Phone
- (443) 812-3947
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
25 Dunvale Rd Apt 456
Towson, MD 21204-2693
Mailing address
25 Dunvale Rd Apt 456
Towson, MD 21204-2693
Phone (443) 812-3947
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1648944000000",
"number": "1326789587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 DUNVALE RD APT 456",
"city": "TOWSON",
"state": "MD",
"postal_code": "212042693",
"telephone_number": "443-812-3947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 DUNVALE RD APT 456",
"city": "TOWSON",
"state": "MD",
"postal_code": "212042693",
"telephone_number": "443-812-3947"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATLANTIC MEDICAL TRANSPORT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-03",
"last_updated": "2022-04-03",
"certification_date": "2022-04-03",
"status": "A",
"authorized_official_last_name": "NELLIS",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "STEVEN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "443-812-3947",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.