Organization Active NPI

Hernandez Medical Transportation

  • Land Ambulance
  • Fair Lawn, NJ
National Provider Identifier
1376913525
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
102786 Issued in NJ
Legal business name
HERNANDEZ MEDICAL TRANSPORTATION
Practice address
20-21 Wagaraw Rd
Building 37
Fair Lawn, NJ 07410-1324
Phone
(973) 427-4004
Fax
(973) 427-4224
NPI assigned
Sep 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2015

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

Authorized official

Name
Sully Hernandez
Title
President
Phone
(973) 427-4004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 102786 NJ Primary

Addresses

Primary practice location

20-21 Wagaraw Rd
Building 37
Fair Lawn, NJ 07410-1324

Mailing address

20-21 Wagaraw Rd
Building 37
Fair Lawn, NJ 07410-1324
Phone (973) 427-4004

National Provider Directory

National Provider Directory

Locations

20-21 Wagaraw Rd
Fair Lawn, NJ 07410
Phone (973) 427-4224

20-21 Wagaraw Rd
Bldg 37
Fair Lawn, NJ 07410
Phone (973) 427-4004

NPI Registry JSON

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443571200000",
    "number": "1376913525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20-21 WAGARAW RD",
            "address_2": "BUILDING 37",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101324",
            "telephone_number": "973-427-4004",
            "fax_number": "973-427-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20-21 WAGARAW RD",
            "address_2": "BUILDING 37",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101324",
            "telephone_number": "973-427-4004",
            "fax_number": "973-427-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERNANDEZ MEDICAL TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-30",
        "last_updated": "2015-09-30",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "SULLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-427-4004"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NJ",
            "license": "102786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.