Active NPI
Premiaer Care Medical Transport
- Land Ambulance
- Sicklerville, NJ
National Provider Identifier
1376962928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 100694
- Legal business name
- PREMIAER CARE MEDICAL TRANSPORT
- Practice address
- 17 Madison LN
Sicklerville, NJ 08081-4410 - Phone
- (856) 875-2273
- Fax
- (856) 875-2275
- NPI assigned
- Apr 10, 2014
- 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. Delvin James Charleston
- Title
- Owner
- Phone
- (609) 254-3107
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 100694 | NJ | Primary |
| Non-emergency Medical Transport (VAN) | 343900000X | 100694 | NJ |
Addresses
Primary practice location
17 Madison LN
Sicklerville, NJ 08081-4410
Mailing address
17 Madison LN
Sicklerville, NJ 08081-4410
Phone (856) 875-2273
National Provider Directory
National Provider Directory- Tax ID family
- Premiaer Care Medical Transport
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Land Ambulance
- Sicklerville, NJ
- NPI 1992115075
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1397088000000",
"number": "1376962928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 MADISON LN",
"city": "SICKLERVILLE",
"state": "NJ",
"postal_code": "080814410",
"telephone_number": "856-875-2273",
"fax_number": "856-875-2275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 MADISON LN",
"city": "SICKLERVILLE",
"state": "NJ",
"postal_code": "080814410",
"telephone_number": "856-875-2273",
"fax_number": "856-875-2275"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIAER CARE MEDICAL TRANSPORT",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-10",
"last_updated": "2014-04-10",
"status": "A",
"authorized_official_last_name": "CHARLESTON",
"authorized_official_first_name": "DELVIN",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "609-254-3107",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NJ",
"license": "100694",
"primary": true
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "NJ",
"license": "100694",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sicklerville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.