En Route Medical Transport

Primary specialty

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

License

0400697199 Issued in NJ

Legal business name

EN ROUTE MEDICAL TRANSPORT

Practice address

5453 Garfield Ave
Pennsauken, NJ 08109-1129

Phone

(770) 294-4973

NPI assigned

Dec 2, 2014

Last updated

Dec 2, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Tyran Wheaton

Title

First Officer

Phone

(770) 294-4973

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1417478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417478400000",
    "number": "1437556776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5453 GARFIELD AVE",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081091129",
            "telephone_number": "770-294-4973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5453 GARFIELD AVE",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081091129",
            "telephone_number": "770-294-4973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EN ROUTE MEDICAL TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-02",
        "last_updated": "2014-12-02",
        "status": "A",
        "authorized_official_last_name": "WHEATON",
        "authorized_official_first_name": "TYRAN",
        "authorized_official_title_or_position": "FIRST OFFICER",
        "authorized_official_telephone_number": "770-294-4973",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NJ",
            "license": "0400697199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Pennsauken, NJ
• Providers in Pennsauken, 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 Dec 2, 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.

Verify at the official NPI Registry.