PSP Transportation LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

PSP TRANSPORTATION LLC

Practice address

280 Orange Ave # 1
Irvington, NJ 07111-2129

Phone

(862) 900-3606

NPI assigned

Jun 29, 2020

Organization subpart

No

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

Authorized official

Name

Idris B Dent

Title

Owner/Driver

Phone

(862) 900-3606

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593388800000",
    "number": "1356968036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 ORANGE AVE # 1",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071112129",
            "telephone_number": "862-900-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 ORANGE AVE # 1",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071112129",
            "telephone_number": "862-900-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSP TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-29",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A",
        "authorized_official_last_name": "DENT",
        "authorized_official_first_name": "IDRIS",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/DRIVER",
        "authorized_official_telephone_number": "862-900-3606"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Irvington, NJ
• Providers in Irvington, NJ by specialty
• Non-emergency Medical Transport (VAN) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.