Organization Active NPI

Mercy Medical Transport

  • Land Ambulance
  • West Orange, NJ
National Provider Identifier
1356740153
Registry record updated Sep 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
100695 Issued in NJ
Legal business name
MERCY MEDICAL TRANSPORT
Practice address
59 Main St
Suite 303
West Orange, NJ 07052-5341
Phone
(973) 223-3499
NPI assigned
Aug 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2014

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

Authorized official

Name
Mr. Jean R Jean
Title
Owner
Phone
(973) 223-3499

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 100695 NJ Primary

Addresses

Primary practice location

59 Main St
Suite 303
West Orange, NJ 07052-5341

Mailing address

59 Main St
Suite 303
West Orange, NJ 07052-5341
Phone (973) 223-3499

National Provider Directory

National Provider Directory

Locations

59 Main St
Ste 303
West Orange, NJ 07052
Phone (973) 223-3499

59 Main St
Ste 341
West Orange, NJ 07052
Phone (862) 520-4629

NPI Registry JSON

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409702400000",
    "number": "1356740153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 MAIN ST",
            "address_2": "SUITE 303",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525341",
            "telephone_number": "973-223-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 MAIN ST",
            "address_2": "SUITE 303",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525341",
            "telephone_number": "973-223-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY MEDICAL TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-18",
        "last_updated": "2014-09-03",
        "status": "A",
        "authorized_official_last_name": "JEAN",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-223-3499",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NJ",
            "license": "100695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; 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.