Medride Transport LLC

Key facts

NPI

1336063049

Entity type

Organization (NPI type 2)

Primary specialty

Driver 172A00000X

Legal business name

MEDRIDE TRANSPORT LLC

Practice address

2004 Rhode Island Ave NE # 200
Washington, DC 20018-2835

Phone

(240) 997-1114

NPI assigned

Aug 5, 2026

Organization subpart

No

Authorized official

Name

Aissa Barry

Title

Owner

Phone

(240) 997-1114

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 5, 2026.

{
    "created_epoch": "1785888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1336063049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 RHODE ISLAND AVE NE # 200",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200182835",
            "telephone_number": "240-997-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 RHODE ISLAND AVE NE # 200",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200182835",
            "telephone_number": "240-997-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDRIDE TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-05",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "BARRY",
        "authorized_official_first_name": "AISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-997-1114"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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