Mataan Transit

Primary specialty

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

Legal business name

MATAAN TRANSIT

Practice address

2501 Londin LN E Apt 229
Maplewood, MN 55119-6744

Phone

(320) 403-0870

NPI assigned

Nov 19, 2024

Organization subpart

No

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

Authorized official

Name

Fardowsa Ibrahim

Title

Director

Phone

(320) 403-0870

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1407671928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 LONDIN LN E APT 229",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551196744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 LONDIN LN E APT 229",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551196744",
            "telephone_number": "320-403-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATAAN TRANSIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "FARDOWSA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "320-403-0870"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alena Marie Harris Martens, D.D.S
• Justin Martinez, PA-C
• Jodell F Masciopinto, DDS
• Lauren Rose Mason, DPT
• Jeannette Massey, LADC
• Joel Matz
• John Leo Maurer, MD
• Lauren K Maurer, M.D.
• Mayer Optical Shop, Inc. (Mayer Optical Shop)
• Robert Mayrand, MD

• Non-emergency Medical Transport (VAN) in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Non-emergency Medical Transport (VAN) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.