Vine Transportation LLC

Primary specialty

Secured Medical Transport (VAN)Taxonomy code 343800000X

License

343800000X Issued in NJ

Legal business name

VINE TRANSPORTATION LLC

Practice address

12 Jansen Ave
Woodbridge, NJ 07095-2504

Phone

(732) 485-3758

Fax

(732) 874-5041

NPI assigned

Mar 7, 2016

Organization subpart

No

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

Authorized official

Name

Shirley Laticia Purnell

Title

Owner

Phone

(732) 485-3758

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458086400000",
    "number": "1427418201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 JANSEN AVE",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070952504",
            "telephone_number": "732-485-3758",
            "fax_number": "732-874-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 JANSEN AVE",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070952504",
            "telephone_number": "732-485-3758",
            "fax_number": "732-874-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINE TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-07",
        "last_updated": "2016-03-16",
        "status": "A",
        "authorized_official_last_name": "PURNELL",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "LATICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-485-3758"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "NJ",
            "license": "343800000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Secured Medical Transport (VAN) in Woodbridge, NJ
• Providers in Woodbridge, NJ by specialty
• Secured Medical Transport (VAN) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; 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.