Active NPI
Garden State Medical Transport
- Non-emergency Medical Transport (VAN)
- Newark, NJ
National Provider Identifier
1356281323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- GARDEN STATE MEDICAL TRANSPORT
- Practice address
- 191 Fairmount Ave FL 1
Newark, NJ 07103-2456 - Phone
- (917) 495-0352
- Fax
- (917) 495-0352
- NPI assigned
- Mar 30, 2026
- 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. Vassiriki Soumahoro, SOUMAHORO
- Title
- Owner
- Phone
- (917) 495-0352
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
191 Fairmount Ave FL 1
Newark, NJ 07103-2456
Mailing address
191 Fairmount Ave FL 1
Newark, NJ 07103-2456
Phone (917) 495-0352
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774828800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774828800000",
"number": "1356281323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 FAIRMOUNT AVE FL 1",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071032456",
"telephone_number": "917-495-0352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 FAIRMOUNT AVE FL 1",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071032456",
"telephone_number": "917-495-0352",
"fax_number": "917-495-0352"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARDEN STATE MEDICAL TRANSPORT",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-30",
"last_updated": "2026-03-30",
"certification_date": "2026-03-30",
"status": "A",
"authorized_official_last_name": "SOUMAHORO",
"authorized_official_first_name": "VASSIRIKI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "917-495-0352",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "SOUMAHORO"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.